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General NPI Number Information
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NPI Number | 1912193913
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Entity Type | Individual
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Provider Name | PAMELA E HARKINS CRT
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 29614 CAMINO CRISTAL
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City | MENIFEE
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State | CA
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Zip | 92584-7568
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Country | US
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Telephone | 951-679-7097
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Fax | 951-848-0501
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Provider Business Mailing Address
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Address Line | 29614 CAMINO CRISTAL
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City | MENIFEE
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State | CA
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Zip | 92584-7568
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Country | US
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Telephone | 951-679-7097
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Fax | 951-848-0501
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 24009
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License Number State | CA
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