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General NPI Number Information
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NPI Number | 1689406431
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Entity Type | Individual
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Provider Name | JANE MICHELLE HARTMAN APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 302 W 4TH ST
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City | DEQUINCY
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State | LA
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Zip | 70633-3404
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Country | US
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Telephone | 337-222-5524
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Fax | 337-483-1037
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Provider Business Mailing Address
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Address Line | 3173 BUNKER HILL RD
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City | LAKE CHARLES
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State | LA
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Zip | 70611-5909
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Country | US
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Telephone | 817-627-7481
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200646
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200646
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License Number State | LA
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