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General NPI Number Information
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NPI Number | 1225141914
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Entity Type | Individual
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Provider Name | CHERYL O. HART PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 11010 HARBOR HILL DR STE B353
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City | GIG HARBOR
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State | WA
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Zip | 98332-8953
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Country | US
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Telephone | 253-514-8331
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Fax | 253-514-8378
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Provider Business Mailing Address
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Address Line | 11010 HARBOR HILL DR STE B353
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City | GIG HARBOR
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State | WA
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Zip | 98332-8953
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Country | US
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Telephone | 253-514-8331
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Fax | 253-514-8378
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60036513
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | KY-1429
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 21928
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License Number State | CA
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