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General NPI Number Information
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NPI Number | 1972799187
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Entity Type | Organization
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Legal Business Name | THOMAS C HARPER, M.D. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 265 POSADA LN STE D
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City | TEMPLETON
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State | CA
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Zip | 93465-4056
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Country | US
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Telephone | 805-239-9055
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1665
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City | PASO ROBLES
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State | CA
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Zip | 93447-1665
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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 | BILLING MANAGER
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Name | JEANINE KLEIN
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Credential |
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Telephone | 805-239-9055
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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 | G47703
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License Number State | CA
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