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General NPI Number Information
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NPI Number | 1720799398
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Entity Type | Individual
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Provider Name | JAMES HARTGRAVES PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 902 W RANDOL MILL RD STE 120
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City | ARLINGTON
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State | TX
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Zip | 76012-2579
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Country | US
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Telephone | 817-801-1503
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Fax | 817-801-1508
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Provider Business Mailing Address
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Address Line | 4700 SETON CENTER PKWY STE 115
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City | AUSTIN
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State | TX
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Zip | 78759-5753
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Country | US
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Telephone | 346-440-0645
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Fax | 346-478-0182
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA16587
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License Number State | TX
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