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General NPI Number Information
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NPI Number | 1114947199
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Entity Type | Individual
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Provider Name | JENNIFER HARTMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 4525 LEMMON AVE SUITE 200
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City | DALLAS
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State | TX
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Zip | 75219-2145
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Country | US
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Telephone | 214-526-4525
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Fax | 214-520-6468
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Provider Business Mailing Address
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Address Line | 8340 MEADOW RD SUITE 2224
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City | DALLAS
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State | TX
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Zip | 75231-3769
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Country | US
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Telephone | 972-742-2186
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Fax | 469-232-9943
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32123
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License Number State | TX
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