MEDICARE: DR. DALE R HARMAN MD, MPH

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	A76517	CA

General Provider Information

NPI Number	:	1861494395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE R HARMAN MD, MPH

Provider Business Mailing Address
First Line	:	1406 BOSWELL CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-1611
Country	:	US
Telephone Number	:	310-744-4801
Fax Number	:	301-744-4955

Provider Business Practice Location Address
First Line	:	1600 W WILSON RD
Second Line	:	OCCUPATIONAL HEALTH CLINIC, NSWC INDIAN HEAD
City	:	INDIAN HEAD
State	:	MD
Zip	:	20640-1400
Country	:	US
Telephone Number	:	301-744-4801
Fax Number	:	301-744-4955

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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