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General NPI Number Information
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NPI Number | 1700262847
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Entity Type | Organization
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Legal Business Name | HARTMAN SPINE & JOINT LLC
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 302 E 23RD ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-3008
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Country | US
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Telephone | 620-223-1150
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Fax |
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Provider Business Mailing Address
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Address Line | 302 E 23RD ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-3008
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Country | US
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Telephone | 620-223-1150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GRANT HARTMAN
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Credential |
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Telephone | 620-223-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | KS01-05681
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License Number State | KS
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