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NPI Code Detail

MEDICARE: MR. JOHN HARMON

MEDICARE: MR. JOHN HARMON
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
1224Z00000XOccupational Therapy AssistantA01522MD

General Provider Information

NPI Number : 1265553861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN HARMON
Provider Business Mailing Address
First Line : 404 COLONIAL RIDGE LN
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2334
Country : US
Telephone Number : 410-626-8780
Fax Number :
Provider Business Practice Location Address
First Line : 404 COLONIAL RIDGE LN
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2334
Country : US
Telephone Number : 410-626-8780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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