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General NPI Number Information
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NPI Number | 1134558927
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Entity Type | Individual
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Provider Name | DEBORAH HART PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 6400 DUTCHMANS PKWY STE 60
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City | LOUISVILLE
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State | KY
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Zip | 40205-3341
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Country | US
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Telephone | 27-089-8805
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Fax | 502-708-6911
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Provider Business Mailing Address
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Address Line | 1169 EASTERN PKWY STE 400
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City | LOUISVILLE
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State | KY
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Zip | 40217-1412
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Country | US
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Telephone | 502-276-5554
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Fax | 502-403-2065
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.002065
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TC246
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License Number State | KY
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