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General NPI Number Information
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NPI Number | 1710481676
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Entity Type | Individual
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Provider Name | FATIMA HARTMAN MA
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 2715 COLONIAL DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6818
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Country | US
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Telephone | 808-898-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 6417 SWEET OLIVE CT
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City | SUMTER
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State | SC
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Zip | 29154-9310
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Country | US
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Telephone |
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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