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
Certification Date: 2020-10-19
Details
Name | Value | ||||||||
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NPI | 1093062929 | ||||||||
Enumeration Date | 2012-08-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
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 | ||||||||
Health Information Exchange |
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