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General NPI Number Information
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NPI Number | 1629728787
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Entity Type | Individual
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Provider Name | JONATHAN RYAN HARTRANFT DO
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Gender | Male
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 417 N 11TH ST
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City | RICHMOND
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State | VA
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Zip | 23298-5024
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Country | US
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Telephone | 804-828-9357
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Fax | 804-828-7591
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Provider Business Mailing Address
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Address Line | 417 N 11TH ST
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City | RICHMOND
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State | VA
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Zip | 23298-5024
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Country | US
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Telephone | 804-828-9357
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Fax | 804-828-7591
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0102209300
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License Number State | VA
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