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General NPI Number Information
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NPI Number | 1194777300
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Entity Type | Organization
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Legal Business Name | HART OPHTHALMOLOGY ASSOCIATES, P.S.C.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 300 S 8TH ST SUITE 505E
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City | MURRAY
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State | KY
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Zip | 42071-2400
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Country | US
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Telephone | 270-753-3131
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Fax | 270-753-3169
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Provider Business Mailing Address
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Address Line | 300 S 8TH ST SUITE 505E
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City | MURRAY
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State | KY
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Zip | 42071-2400
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Country | US
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Telephone | 270-753-3131
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Fax | 270-753-3169
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Authorized Official
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Title or Position | PRACTICE COORDINATOR
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Name | MS. SHAUN B BARROW
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Credential |
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Telephone | 270-753-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | KY
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