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NPI Code Detail

MEDICARE: MR. NORMAN HARPOLE

MEDICARE:  MR. NORMAN  HARPOLE
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
1235Z00000XSpeech-Language PathologistSPEECHCORRK122964MO

General Provider Information

NPI Number : 1922173152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NORMAN HARPOLE
Provider Business Mailing Address
First Line : 2705 S COMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-1204
Country : US
Telephone Number : 314-776-4320
Fax Number : 314-776-1875
Provider Business Practice Location Address
First Line : 3815 MAGNOLIA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-4025
Country : US
Telephone Number : 314-776-4320
Fax Number : 314-776-1875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 07/08/2007

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Directions to “ MR. NORMAN HARPOLE ” Practice Location

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