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General NPI Number Information
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NPI Number | 1750390746
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Entity Type | Individual
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Provider Name | GREGORY DWIGHT HARTMAN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 3501 STOCKDALE HWY STE F
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2150
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Country | US
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Telephone | 661-398-3658
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Fax | 661-398-3684
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Provider Business Mailing Address
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Address Line | 3008 SILLECT AVE STE 120
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City | BAKERSFIELD
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State | CA
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Zip | 93308-6360
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Country | US
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Telephone | 661-398-3658
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Fax | 661-398-3684
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E002948
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License Number State | CA
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