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Individual
MATHEW HARRELL
Active
Individual
MATHEW HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102204314
VA
208000000X
Pediatrics Physician
H0097268
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H0097268
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H0097268
—
MD
Enumeration date
05/16/2014
Last updated
04/03/2025
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