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General NPI Number Information
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NPI Number | 1689891822
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Entity Type | Individual
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Provider Name | JAIME BETH HARPER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 177 MURDOCK 1653 WEST CONGRESS PARKWAY
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-942-8149
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 NORTH LASALLE UNIT 712
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-335-8483
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 36113786
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License Number State | IL
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