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General NPI Number Information
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NPI Number | 1730185190
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Entity Type | Individual
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Provider Name | PETER MARSHALL HARVEY D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 1612 10TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4307
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Country | US
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Telephone | 940-723-1054
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Fax | 940-723-4646
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Provider Business Mailing Address
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Address Line | 1612 10TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4307
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Country | US
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Telephone | 940-723-1054
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Fax | 940-723-4646
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 346
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License Number State | TX
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