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General NPI Number Information
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NPI Number | 1497827877
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Entity Type | Individual
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Provider Name | PATRICIA HART D.O.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 7548 MANLIUS CENTER RD APT 1
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City | KIRKVILLE
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State | NY
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Zip | 13082-9327
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Country | US
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Telephone | 315-729-8936
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 217
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City | MANLIUS
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State | NY
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Zip | 13104-0217
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Country | US
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Telephone | 315-729-8936
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Fax | 315-422-3641
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 212594-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 212594
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License Number State | NY
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