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General NPI Number Information
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NPI Number | 1336131457
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Entity Type | Individual
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Provider Name | MARTHA HART CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 88 MCGREGOR ST 303
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City | MANCHESTER
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State | NH
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Zip | 03102-3734
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Country | US
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Telephone | 603-647-9325
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Fax | 603-647-2453
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Provider Business Mailing Address
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Address Line | 88 MCGREGOR ST 303
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City | MANCHESTER
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State | NH
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Zip | 03102-3734
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Country | US
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Telephone | 603-647-9325
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Fax | 603-647-2453
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 047261-23-11
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License Number State | NH
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