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General NPI Number Information
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NPI Number | 1801071386
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Entity Type | Individual
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Provider Name | JUDY ANN HARVEY R.D
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Gender | Female
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 275 LOTO ST
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City | EAGLE POINT
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State | OR
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Zip | 97524-9517
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Country | US
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Telephone | 541-830-0333
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Fax | 541-830-0863
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | EAGLE POINT
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State | OR
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Zip | 97524-0550
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Country | US
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Telephone | 541-830-0333
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Fax | 541-830-0863
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | OR
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