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General NPI Number Information
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NPI Number | 1770880494
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Entity Type | Organization
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Legal Business Name | HARBOR MEDICAL INC
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 3519 GLENOAK DR
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City | JARRETTSVILLE
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State | MD
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Zip | 21084-1837
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Country | US
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Telephone | 410-692-5629
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Fax |
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Provider Business Mailing Address
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Address Line | 3519 GLENOAK DR
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City | JARRETTSVILLE
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State | MD
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Zip | 21084-1837
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Country | US
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Telephone | 410-692-5629
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BONNIE GLENNON
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Credential |
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Telephone | 410-692-5629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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