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General NPI Number Information
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NPI Number | 1447717962
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Entity Type | Organization
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Legal Business Name | HARKAWAY LLC
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 1220 TILTON RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1809
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Country | US
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Telephone | 609-377-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 132 COUNTRY CLUB DR
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3974
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Country | US
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Telephone | 609-969-7651
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Fax | 856-608-9211
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD HARKAWAY
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Credential | MD
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Telephone | 610-659-7511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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