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General NPI Number Information
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NPI Number | 1043577802
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Entity Type | Individual
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Provider Name | MR. KAREEM R HART
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Gender | Male
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 4207 LIVE OAK ST APT 2217
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City | DALLAS
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State | TX
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Zip | 75204-6709
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Country | US
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Telephone | 214-985-1066
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Fax | 214-383-4815
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Provider Business Mailing Address
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Address Line | 4207 LIVE OAKS ST.# 2217
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City | DALLAS
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State | TX
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Zip | 75204
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Country | US
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Telephone | 214-985-1066
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Fax | 214-383-4815
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | TX
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