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General NPI Number Information
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NPI Number | 1366828378
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Entity Type | Individual
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Provider Name | HILARY HARTWIG
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Gender | Female
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 1139 HWY 77
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City | MARION
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State | AR
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Zip | 72364
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Country | US
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Telephone | 731-884-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 800 SHERRILL ST.
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City | UNION CITY
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State | TN
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Zip | 38261
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20224
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License Number State | TN
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