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General NPI Number Information
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NPI Number | 1326084773
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Entity Type | Individual
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Provider Name | THOMAS K HART MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 1031 NEW MOODY LN SUITE 200
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City | LA GRANGE
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State | KY
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Zip | 40031-9189
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Country | US
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Telephone | 502-225-9877
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 950248
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City | LOUISVILLE
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State | KY
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Zip | 40295-0248
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Country | US
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Telephone | 502-238-2801
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Fax | 502-238-2835
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 27769
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License Number State | KY
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