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General NPI Number Information
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NPI Number | 1487654224
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Entity Type | Individual
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Provider Name | HAROLD B HARVEY C-PA
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | BEAUFORT MEMORIAL HARRISON PEEPLES HEALTHCARE CENTER 1000 PINE STREET WEST
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City | VARNVILLE
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State | SC
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Zip | 29944-0969
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Country | US
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Telephone | 803-943-5228
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Fax | 844-295-9899
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Provider Business Mailing Address
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Address Line | 955 RIBAUT RD BMAC CREDENTIALING
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City | BEAUFORT
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State | SC
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Zip | 29902-5441
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Country | US
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Telephone | 843-522-5674
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Fax | 843-522-5678
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 204
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License Number State | SC
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