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General NPI Number Information
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NPI Number | 1104853050
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Entity Type | Individual
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Provider Name | MARGARET C HART NP
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 2333 HIGHWAY 17
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City | IBERIA
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State | MO
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Zip | 65486
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Country | US
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Telephone | 573-793-6900
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Fax | 573-793-6688
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Provider Business Mailing Address
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Address Line | PO BOX 1500
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City | OSAGE BEACH
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State | MO
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Zip | 65065
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 086955
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 086955
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License Number State | MO
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