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General NPI Number Information
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NPI Number | 1588871800
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Entity Type | Organization
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Legal Business Name | HARVEY FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35 CHASE DR
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City | HURRICANE
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State | WV
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Zip | 25526-8937
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Country | US
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Telephone | 304-397-4060
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Fax | 304-397-4080
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Provider Business Mailing Address
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Address Line | 35 CHASE DRIVE
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-397-4060
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Fax | 304-397-4080
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Authorized Official
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Title or Position | MEMBER
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Name | DR. HYLA HARVEY
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Credential | M.D.
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Telephone | 304-397-4060
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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 | 2002-2312
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License Number State | WV
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