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General NPI Number Information
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NPI Number | 1134762933
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Entity Type | Organization
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Legal Business Name | VANESSA HARTMAN DDS & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 11713 JEFFERSON AVE STE 100
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2400
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Country | US
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Telephone | 757-873-3407
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Fax | 757-873-2565
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Provider Business Mailing Address
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Address Line | 11713 JEFFERSON AVE STE 100
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-2400
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Country | US
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Telephone | 757-873-3407
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Fax | 757-873-2565
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Authorized Official
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Title or Position | DENTIST
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Name | DR. VANESSA ZULEMA HARTMAN
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Credential | DDS
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Telephone | 757-873-3407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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