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General NPI Number Information
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NPI Number | 1164912721
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Entity Type | Individual
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Provider Name | SHAYLA KAY HARTMAN APN
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Gender | Female
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 705 2ND STREET
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City | HART
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State | TX
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Zip | 79043
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Country | US
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Telephone | 806-938-2299
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Fax | 806-937-0015
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Provider Business Mailing Address
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Address Line | PO BOX 681
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City | WALDEN
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State | CO
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Zip | 80480-0681
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0993514-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP131959
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License Number State | TX
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