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Provider Information for 1093062929


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PAGE H HARPER MA


Sex: Female

NPI: 1093062929
Last Updated: 2020-10-19
Certification Date: 2020-10-19

Details

NameValue
NPI1093062929
Enumeration Date2012-08-09
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 121448
CLERMONT, FL 34712-1448
United States

Phone: 352-516-0656 | Fax:
 
Primary Practice Address 605 W MONTROSE ST
CLERMONT, FL 34711-2119
United States

Phone: 352-365-2243 | Fax:
 
Secondary Practice Address(es)

3420 US HWY 27-441
FRUITLAND PARK, FL 34731
United States

Phone: 352-435-4631 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLIMH10034