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General NPI Number Information
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NPI Number | 1205164209
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Entity Type | Organization
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Legal Business Name | JAMES L. HARTJE M.D. P.C.
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 2730 PIERCE ST SUITE 403
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City | SIOUX CITY
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State | IA
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Zip | 51104
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Country | US
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Telephone | 712-255-5835
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Fax | 712-234-1140
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Provider Business Mailing Address
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Address Line | 2730 PIERCE ST SUITE 403
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City | SIOUX CITY
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State | IA
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Zip | 51104
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Country | US
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Telephone | 712-255-5835
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Fax | 712-234-1140
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES LOWELL HARTJE
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Credential | M.D.
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Telephone | 712-255-5835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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