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NPI Code Detail

MEDICARE: DR. JAMES RICHARD HARVEY D.C.

MEDICARE: DR. JAMES RICHARD HARVEY D.C.
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
1111N00000XChiropractorCHAI-1226ID
2111N00000XChiropractor10034TX

General Provider Information

NPI Number : 1750422374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES RICHARD HARVEY D.C.
Provider Business Mailing Address
First Line : 2418 ELMCREST LN
Second Line :
City : BOISE
State : ID
Zip : 83705-4327
Country : US
Telephone Number : 214-293-0243
Fax Number :
Provider Business Practice Location Address
First Line : 1080 W BOISE AVE
Second Line :
City : BOISE
State : ID
Zip : 83706-3502
Country : US
Telephone Number : 208-388-1895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/08/2007

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