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General NPI Number Information
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NPI Number | 1124137468
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Entity Type | Individual
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Provider Name | ERIC THOMAS HARTMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 101 FORT SANDERS WEST BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37922-3342
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Country | US
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Telephone | 865-895-3000
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Fax | 865-331-4320
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Provider Business Mailing Address
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Address Line | 916 WESTLAND CREEK BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37923-6726
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Country | US
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Telephone | 303-803-5383
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 58565
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License Number State | TN
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