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General NPI Number Information
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NPI Number | 1114051752
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Entity Type | Organization
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Legal Business Name | HARTMAN MEDICAL ASSOCIATES PA
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 5520 COLLEGE BLVD SUITE 470
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1630
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Country | US
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Telephone | 913-663-2345
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Fax | 913-663-4325
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Provider Business Mailing Address
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Address Line | 5520 COLLEGE BLVD SUITE 470
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1630
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Country | US
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Telephone | 913-663-2345
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Fax | 913-663-4325
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | DR. RON HARTMAN
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Credential | MD
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Telephone | 913-663-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0642116
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License Number State | KS
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