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General NPI Number Information
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NPI Number | 1477564441
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Entity Type | Individual
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Provider Name | RAYMOND V HARRON D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 150 SPARTAN DR
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City | SALEM
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State | VA
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Zip | 24153-3208
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Country | US
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Telephone | 540-400-8777
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Fax | 540-400-8795
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Provider Business Mailing Address
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Address Line | PO BOX 8310
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City | ROANOKE
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State | VA
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Zip | 24014-0310
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Country | US
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Telephone | 540-345-3556
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Fax | 540-342-2193
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 0102050084
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License Number State | VA
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