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NPI Code Detail

MEDICARE: MRS. HEATHER HARPER RDN, CSOWM, CDCES

MEDICARE: MRS. HEATHER HARPER RDN, CSOWM, CDCES
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
1133V00000XRegistered DietitianDO1753MD

General Provider Information

NPI Number : 1548538838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER HARPER RDN, CSOWM, CDCES
Provider Business Mailing Address
First Line : 400 W 7TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4506
Country : US
Telephone Number : 240-379-6014
Fax Number : 240-379-6050
Provider Business Practice Location Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-215-1474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2011
Last Update Date : 12/12/2022

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