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General NPI Number Information
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NPI Number | 1073522157
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Entity Type | Individual
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Provider Name | ROSS HARTMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 08/06/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 400 S OYSTER BAY RD SUITE 205
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City | HICKSVILLE
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State | NY
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Zip | 11801-3500
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Country | US
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Telephone | 516-822-3338
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Fax | 516-935-9405
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Provider Business Mailing Address
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Address Line | 8 FAIRWAY DR
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City | OLD BETHPAGE
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State | NY
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Zip | 11804-1707
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Country | US
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Telephone | 917-922-3181
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005926
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License Number State | NY
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