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General NPI Number Information
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NPI Number | 1982025417
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Entity Type | Individual
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Provider Name | MR. RALPH HARVEY III
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Gender | Male
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 2240 W WOOLBRIGHT RD STE 322
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6364
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Country | US
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Telephone | 561-843-4877
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Fax | 561-413-2510
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Provider Business Mailing Address
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Address Line | 2771 HYPOLUXO RD
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City | LAKE WORTH
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State | FL
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Zip | 33462-3826
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Country | US
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Telephone | 561-843-4877
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Fax | 561-413-2510
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 10D2068987
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License Number State | FL
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