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General NPI Number Information
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NPI Number | 1689649055
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Entity Type | Individual
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Provider Name | RICHARD JOHN HARTMAN JR. DO
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 410 N WILLOWBROOK RD
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City | COLDWATER
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State | MI
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Zip | 49036-9462
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Country | US
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Telephone | 517-279-9599
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Fax | 517-279-1679
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Provider Business Mailing Address
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Address Line | 410 N WILLOWBROOK RD
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City | COLDWATER
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State | MI
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Zip | 49036-9462
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Country | US
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Telephone | 517-279-9599
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Fax | 517-279-1679
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5101014488
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License Number State | MI
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