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General NPI Number Information
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NPI Number | 1093135998
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Entity Type | Individual
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Provider Name | IRIS RUTH HARTLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2014
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 10 CENTER DR # OP9
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City | BETHESDA
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State | MD
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Zip | 20892-1544
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Country | US
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Telephone | 301-496-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 22 S GREENE ST RM N3E09
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-6110
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | D82936
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License Number State | MD
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