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General NPI Number Information
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NPI Number | 1821022658
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Entity Type | Individual
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Provider Name | KEVIN HARMON PA
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 2095 HENRY TECKLENBURG DRIVE
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City | CHARLESTON
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State | SC
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Zip | 29414-5734
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Country | US
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Telephone | 843-402-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10760
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City | WESTMINSTER
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State | CA
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Zip | 92685-0760
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Country | US
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Telephone | 800-396-3437
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | A700
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License Number State | SC
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