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General NPI Number Information
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NPI Number | 1699320473
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Entity Type | Individual
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Provider Name | DARREN LLOYD HARTMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 5765 E STATE ROAD 10
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City | DEMOTTE
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State | IN
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Zip | 46310-8888
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Country | US
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Telephone | 219-345-4742
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Fax | 219-345-4753
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Provider Business Mailing Address
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Address Line | 5233 E CHAMBERLAIN CT
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City | DEMOTTE
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State | IN
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Zip | 46310-8948
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Country | US
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Telephone | 219-688-2056
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26018738A
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License Number State | IN
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