MEDICARE: MS. JANE CLEMENT HARRINGTON JANE C. HARRINGTON

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
1	174400000X	Specialist		CO

General Provider Information

NPI Number	:	1396925764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE CLEMENT HARRINGTON JANE C. HARRINGTON

Provider Business Mailing Address
First Line	:	3405 AVENIDA CURVATURA NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-2633
Country	:	US
Telephone Number	:	505-341-0666
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 AVENIDA CURVATURA NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-2633
Country	:	US
Telephone Number	:	505-341-0666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	01/23/2008

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