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General NPI Number Information
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NPI Number | 1528022795
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Entity Type | Individual
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Provider Name | GREGORY S. HARRAH MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 3857 TEAYS VALLEY RD SUITE I
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City | HURRICANE
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State | WV
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Zip | 25526-9480
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Country | US
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Telephone | 304-757-7052
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Fax | 304-757-7093
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Provider Business Mailing Address
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Address Line | 226 COBBLESTONE BLVD
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City | SCOTT DEPOT
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State | WV
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Zip | 25560-9362
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Country | US
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Telephone | 304-757-7092
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Fax | 304-757-7093
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17232
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License Number State | WV
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