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General NPI Number Information
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NPI Number | 1942286067
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Entity Type | Individual
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Provider Name | IRVING W HARPER III MD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 161 WAILEA IKE PL STE A104
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City | WAILEA
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State | HI
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Zip | 96753-6502
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Country | US
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Telephone | 808-874-5141
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Fax | 808-875-1173
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Provider Business Mailing Address
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Address Line | PO BOX 1366
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City | HONOKAA
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State | HI
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Zip | 96727-1366
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Country | US
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Telephone | 716-299-8570
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Fax | 855-954-0016
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD - 12617
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License Number State | HI
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