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General NPI Number Information
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NPI Number | 1689356446
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Entity Type | Individual
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Provider Name | VICTORIA ANN HART
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 6756 S GREENVILLE RD
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City | GREENVILLE
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State | MI
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Zip | 48838-1000
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Country | US
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Telephone | 616-889-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 604 N BRIDGE ST
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City | BELDING
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State | MI
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Zip | 48809-1210
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Country | US
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Telephone |
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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