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General NPI Number Information
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NPI Number | 1699184390
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Entity Type | Organization
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Legal Business Name | HART HEALHT CARE, INC
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 5340 ELVAS AVE STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95819-2345
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Country | US
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Telephone | 916-736-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 5340 ELVAS AVE STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95819-2345
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Country | US
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Telephone | 916-736-2225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN ELENA HART
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Credential | MD
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Telephone | 916-380-2007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A79820
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License Number State | CA
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