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General NPI Number Information
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NPI Number | 1568671782
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Entity Type | Individual
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Provider Name | HARSH GOVIL MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 1404 FERN CREEK DR SUITE# 300
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City | STATESVILLE
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State | NC
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Zip | 28625-2862
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Country | US
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Telephone | 704-978-4025
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1845
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City | STATESVILLE
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State | NC
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Zip | 28687-1845
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Country | US
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Telephone | 704-978-4025
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Fax | 704-873-1962
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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 | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | 35.089725
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2010-00414
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 2010-00414
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 2010-00414
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 2010-0414
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License Number State | NC
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