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General NPI Number Information
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NPI Number | 1003076928
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Entity Type | Individual
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Provider Name | CHERYLE R HART MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 3351 GLENWOOD CIR
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City | HOLIDAY
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State | FL
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Zip | 34691-2528
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Country | US
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Telephone | 716-435-4911
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Fax | 610-438-0336
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Provider Business Mailing Address
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Address Line | 3351 GLENWOOD CIR
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City | HOLIDAY
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State | FL
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Zip | 34691-2528
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Country | US
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Telephone | 716-354-4911
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Fax | 813-433-5239
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AH1160439
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 259765
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD472638
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License Number State | PA
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