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General NPI Number Information
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NPI Number | 1417157363
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Entity Type | Individual
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Provider Name | HUGH A HARTMAN JR. PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 27 N PERLEY BROOK RD
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City | FORT KENT
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State | ME
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Zip | 04743-1925
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Country | US
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Telephone | 207-809-5358
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Fax |
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Provider Business Mailing Address
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Address Line | 34 BONYTHON AVE
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City | SACO
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State | ME
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Zip | 04072-1819
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Country | US
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Telephone | 207-809-5358
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PR3231
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License Number State | ME
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