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General NPI Number Information
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NPI Number | 1497096226
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Entity Type | Organization
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Legal Business Name | DIANA HARPER MD PLLC
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 160 S WINSTEAD AVE
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-3419
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Country | US
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Telephone | 252-443-7666
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Fax |
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Provider Business Mailing Address
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Address Line | 4716 NORBURY PL
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City | RALEIGH
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State | NC
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Zip | 27614-8248
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Country | US
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Telephone | 407-468-8843
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANA HARPER
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Credential | MD
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Telephone | 407-468-8843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 9700579
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License Number State | NC
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