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General NPI Number Information
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NPI Number | 1740897107
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Entity Type | Individual
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Provider Name | CAROLYNN HARBISON PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 1140 ROUTE 72 W
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2412
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Country | US
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Telephone | 609-597-6011
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Fax | 609-978-3149
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Provider Business Mailing Address
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Address Line | 137 BEST AVE
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-3534
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Country | US
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Telephone | 908-343-5219
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00656300
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License Number State | NJ
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