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NPI 1962457663

NPI 1962457663 : GARY PHILLIP HARVEY MD : MISSOULA, MT

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General NPI Number Information
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    NPI Number           |    1962457663
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    Entity Type          |    Individual 
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    Provider Name        |    GARY PHILLIP HARVEY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/23/2006
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    Last Update Date     |    11/14/2025
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Provider Practice Location Address
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    Address Line         |    2825 FORT MISSOULA RD 115
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59804
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    Country              |    US
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    Telephone            |    406-728-4292
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    Fax                  |    406-728-5770
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Provider Business Mailing Address
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    Address Line         |    2835 FORT MISSOULA RD STE 202
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    City                 |    MISSOULA
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    State                |    MT
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    Zip                  |    59804-7424
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    Country              |    US
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    Telephone            |    406-728-4292
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    Fax                  |    406-728-5770
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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        |    207VE0102X
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    Taxonomy Name        |    Reproductive Endocrinology Physician
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    License Number       |    7259
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    7259
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    License Number State |    MT
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Taxonomy #3
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    7259
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    License Number State |    MT
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Taxonomy #4
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    Taxonomy Code        |    207VC0200X
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    Taxonomy Name        |    Critical Care Medicine (Obstetrics & Gynecology) Physician
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    License Number       |    7259
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    License Number State |    MT
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