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General NPI Number Information
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NPI Number | 1841371069
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Entity Type | Organization
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Legal Business Name | MAURY K HARWOOD MD MPH INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 18181 BUTTERFIELD BLVD SUITE 100
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City | MORGAN HILL
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State | CA
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Zip | 95037-8108
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Country | US
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Telephone | 408-778-2663
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Fax | 408-778-9197
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Provider Business Mailing Address
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Address Line | 220 STANDIFORD AVE SUITE F
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City | MODESTO
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State | CA
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Zip | 95350-1159
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Country | US
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Telephone | 209-579-5628
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Fax | 209-579-5637
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | MAURY K HARWOOD
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Credential |
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Telephone | 408-778-2663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A79199
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License Number State | CA
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