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General NPI Number Information
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NPI Number | 1831148196
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Entity Type | Individual
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Provider Name | MARJORIE NICOLE HARVILL-BROOKS DO
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Gender | Female
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 940 ROYAL AVE SUITE 350
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City | MEDFORD
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State | OR
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Zip | 97504-6193
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Country | US
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Telephone | 541-732-7460
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Fax | 541-732-7461
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Provider Business Mailing Address
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Address Line | PO BOX 3158
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City | PORTLAND
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State | OR
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Zip | 97208-3158
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Country | US
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Telephone | 541-732-7460
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Fax | 541-732-7460
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DO154075
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | DO154075
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License Number State | OR
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