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General NPI Number Information
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NPI Number | 1568534550
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Entity Type | Individual
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Provider Name | NORMAN GREG HART P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 3901 WALNUT BLVD STE A2
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City | BRENTWOOD
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State | CA
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Zip | 94513-2417
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Country | US
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Telephone | 925-516-1949
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Fax | 925-516-1864
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Provider Business Mailing Address
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Address Line | 3901 WALNUT BLVD STE A2
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City | BRENTWOOD
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State | CA
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Zip | 94513-2417
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Country | US
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Telephone | 925-516-1949
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Fax | 925-516-1864
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT15612
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License Number State | CA
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