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General NPI Number Information
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NPI Number | 1205579232
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Entity Type | Individual
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Provider Name | TAMMY HART
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 4731 ROUTE 30 STE AND404
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City | GREENSBURG
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State | PA
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Zip | 15601-7260
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Country | US
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Telephone | 724-537-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 CHURCH ST
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City | RUFFS DALE
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State | PA
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Zip | 15679-1251
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Country | US
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Telephone | 724-953-7642
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH000344
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License Number State | PA
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