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General NPI Number Information
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NPI Number | 1255245833
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Entity Type | Organization
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Legal Business Name | HART PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 1901 MARTIN LUTHER KING JR WAY S
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City | SEATTLE
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State | WA
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Zip | 98144
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Country | US
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Telephone | 425-331-9055
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Fax |
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Provider Business Mailing Address
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Address Line | 2442 NW MARKET ST UNIT 866
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City | SEATTLE
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State | WA
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Zip | 98107-4137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MIU EZRA HART
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Credential | PHD
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Telephone | 425-331-9055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NULL
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