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General NPI Number Information
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NPI Number | 1750499000
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Entity Type | Organization
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Legal Business Name | J H HARVEY CO LLC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 620 FAIR RD
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City | STATESBORO
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State | GA
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Zip | 30458-4927
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Country | US
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Telephone | 912-681-1941
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Fax | 912-681-3684
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Provider Business Mailing Address
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Address Line | PO BOX 1000 MSC 3000
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City | PORTLAND
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State | ME
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Zip | 04104-5005
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THIRD PARTY MANAGER
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Name | STACIE CURRAN
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Credential |
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Telephone | 207-885-3161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHRE008913
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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