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General NPI Number Information
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NPI Number | 1588555213
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Entity Type | Individual
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Provider Name | ALPHONSO LAWAYNE HARPER
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Gender | Male
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 595 ELK DR # 1430
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City | CHARLESTON
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State | WV
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Zip | 25302-1632
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Country | US
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Telephone | 202-763-2354
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Fax |
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Provider Business Mailing Address
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Address Line | 8813 LIBERTY RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4209
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Country | US
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Telephone | 202-763-2354
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Fax |
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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