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General NPI Number Information
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NPI Number | 1568562254
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Entity Type | Individual
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Provider Name | JUSTIN D HARMON DO
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Gender | Male
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 1203 LANGHORNE NEWTOWN RD STE 225
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City | LANGHORNE
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State | PA
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Zip | 19047-1237
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Country | US
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Telephone | 215-710-4490
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Fax | 215-710-4491
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR SUITE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 215-710-5522
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Fax | 215-710-5181
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MB08004900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MB08004900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | OS012038
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License Number State | PA
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