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NPI 1194274704

NPI 1194274704 : SARAH LYNN HARTMAN RD : CRAIG, CO

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General NPI Number Information
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    NPI Number           |    1194274704
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH LYNN HARTMAN RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/23/2016
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    Last Update Date     |    02/13/2025
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Provider Practice Location Address
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    Address Line         |    750 HOSPITAL LOOP 
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    City                 |    CRAIG
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    State                |    CO
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    Zip                  |    81625-8750
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    Country              |    US
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    Telephone            |    970-826-3182
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    Fax                  |    970-826-3189
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Provider Business Mailing Address
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    Address Line         |    425 ESSJAY RD STE 170 
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    City                 |    WILLIAMSVILLE
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    State                |    NY
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    Zip                  |    14221-8235
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    Country              |    US
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    Telephone            |    716-630-1219
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    Fax                  |    716-817-1726
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    801233
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    License Number State |    NY
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