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General NPI Number Information
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NPI Number | 1457358988
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Entity Type | Individual
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Provider Name | GLENN M HARTMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 12/02/2009
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Provider Practice Location Address
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Address Line | 798 CHERRY TREE COURT
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City | HANOVER
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State | PA
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Zip | 17331-7901
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Country | US
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Telephone | 717-630-8100
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Fax | 717-630-2800
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Provider Business Mailing Address
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Address Line | 798 CHERRY TREE COURT
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City | HANOVER
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State | PA
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Zip | 17331-7901
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Country | US
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Telephone | 717-630-8100
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Fax | 717-630-2800
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC-004115L
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License Number State | PA
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