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General NPI Number Information
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NPI Number | 1679576839
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Entity Type | Individual
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Provider Name | WILLIAM OWEN HARTNESS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 222 22ND AVE N STE 400
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City | NASHVILLE
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State | TN
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Zip | 37203-1831
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Country | US
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Telephone | 615-329-5144
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Fax | 615-284-2595
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Provider Business Mailing Address
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Address Line | 501 GREAT CIRCLE RD SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37228-1317
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Country | US
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Telephone | 615-329-5144
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Fax | 615-284-2595
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 17016
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 17016
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 17016
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License Number State | TN
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