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General NPI Number Information
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NPI Number | 1538154166
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Entity Type | Organization
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Legal Business Name | HART WELLNESS INC
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 404 MAIN ST E
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City | MAPLETON
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State | MN
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Zip | 56065
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Country | US
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Telephone | 507-524-4009
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Fax | 507-524-4013
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | MAPLETON
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State | MN
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Zip | 56065-0448
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Country | US
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Telephone | 507-524-4009
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Fax | 507-524-4013
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | RON HARTMANN
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Credential | RPH
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Telephone | 507-524-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2600822
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License Number State | MN
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