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General NPI Number Information
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NPI Number | 1194932095
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Entity Type | Individual
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Provider Name | YVONNE HART D.D.S., M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 300 SCHUYLKILL RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-5202
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Country | US
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Telephone | 610-933-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 990 BROWER RD
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City | WAYNE
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State | PA
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Zip | 19087-2210
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Country | US
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Telephone | 262-227-1608
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS041151
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 5001949
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License Number State | WI
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