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General NPI Number Information
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NPI Number | 1578656542
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Entity Type | Organization
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Legal Business Name | TIMOTHY B. HART, MD, PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 123 SUNNYBROOK RD SUITE 140
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City | RALEIGH
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State | NC
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Zip | 27610-2783
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Country | US
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Telephone | 919-250-0580
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Fax | 919-250-9939
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Provider Business Mailing Address
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Address Line | 123 SUNNYBROOK RD SUITE 140
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City | RALEIGH
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State | NC
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Zip | 27610-2783
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Country | US
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Telephone | 919-250-0580
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Fax | 919-250-9939
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHARON S. HART
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Credential |
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Telephone | 919-250-0580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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