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General NPI Number Information
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NPI Number | 1811979743
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Entity Type | Individual
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Provider Name | LARRY ROBERT HARPER MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 17000 140TH AVE NE SUITE 101
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City | WOODINVILLE
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State | WA
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Zip | 98072-6928
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Country | US
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Telephone | 425-481-6363
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Fax | 425-488-4971
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Provider Business Mailing Address
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Address Line | PO BOX 34036
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City | SEATTLE
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State | WA
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Zip | 98124-1036
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Country | US
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Telephone | 425-899-3292
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Fax | 425-899-3269
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00015301
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License Number State | WA
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