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NPI Code Detail

MEDICARE: AMBER G HARPER PA

MEDICARE: AMBER G HARPER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant523WV

General Provider Information

NPI Number : 1174762314
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER G HARPER PA
Provider Business Mailing Address
First Line : PO BOX 590
Second Line :
City : UNION
State : WV
Zip : 24983-0590
Country : US
Telephone Number : 304-753-4336
Fax Number : 304-753-4097
Provider Business Practice Location Address
First Line : 2869 SENECA TRL S
Second Line :
City : PETERSTOWN
State : WV
Zip : 24963-5037
Country : US
Telephone Number : 304-753-4336
Fax Number : 304-753-4097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2009
Last Update Date : 01/29/2025

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