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General NPI Number Information
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NPI Number | 1457731440
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Entity Type | Individual
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Provider Name | ROBERT LAVERN HARROLD III M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 3901 PINE LAKE RD
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City | LINCOLN
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State | NE
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Zip | 68516-5497
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Country | US
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Telephone | 402-481-6000
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Fax | 402-423-4100
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Provider Business Mailing Address
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Address Line | PO BOX 7239
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City | LOVELAND
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State | CO
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Zip | 80537-0239
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Country | US
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Telephone | 402-481-6000
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Fax | 402-423-4100
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 328000
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD.39360
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License Number State | AL
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