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General NPI Number Information
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NPI Number | 1194721803
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Entity Type | Individual
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Provider Name | WILLIAM HARRY HARTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | H-42 OMEGA DRIVE
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City | NEWARK
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State | DE
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Zip | 19713
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Country | US
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Telephone | 302-738-1700
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Fax | 302-738-0100
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Provider Business Mailing Address
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Address Line | 101 GREENWOOD AVE SUITE 150
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City | JENKINTOWN
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State | PA
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Zip | 19046-2627
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Country | US
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Telephone | 215-379-8458
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Fax | 267-620-1638
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 35.132810
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD022230E
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License Number State | PA
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