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General NPI Number Information
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NPI Number | 1841239753
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Entity Type | Individual
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Provider Name | HAROLD A BIVINS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 14710 BRUCE B DOWNS BLVD
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City | TAMPA
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State | FL
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Zip | 33613-2800
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Country | US
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Telephone | 813-738-6691
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Fax | 813-816-0327
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Provider Business Mailing Address
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Address Line | 10330 N MERIDIAN ST # 300
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1024
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Country | US
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Telephone |
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 3621
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 01069092A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 030955
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License Number State | GA
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