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General NPI Number Information
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NPI Number | 1043860067
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Entity Type | Individual
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Provider Name | JENNIFER HART DACM, A.P.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 1604 HILLTOP WEST EXECUTIVE CENTER 220
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451
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Country | US
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Telephone | 757-350-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 1876 LONG BRIDGE LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3508
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Country | US
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Telephone | 214-534-4844
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121000961
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4076
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License Number State | FL
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