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NPI 1265467187

NPI 1265467187 : DANIEL J HART D.O. : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1265467187
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL J HART D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    12/29/2014
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Provider Practice Location Address
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    Address Line         |    2301 S BROAD ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19148-3542
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    Country              |    US
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    Telephone            |    215-952-9323
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    Fax                  |    215-952-1124
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8500-2345 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19178-0001
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    Country              |    US
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    Telephone            |    717-263-5562
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    Fax                  |    717-263-1566
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    OS013622
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    License Number State |    PA
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