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General NPI Number Information
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NPI Number | 1619149515
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Entity Type | Individual
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Provider Name | JAMIL AYANNA HARP MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 428 COLUMBUS AVENUE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 203-503-3094
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Fax | 203-503-3107
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Provider Business Mailing Address
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Address Line | 400 COLUMBUS AVENUE CREDENTIALING SPECIALIST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 203-503-3174
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Fax | 203-503-3183
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 001045
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 66905
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License Number State | CT
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