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General NPI Number Information
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NPI Number | 1750805800
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Entity Type | Individual
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Provider Name | JULIE HARTMAN PT
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 1101 W VICKERY BLVD
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 682-885-6294
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Fax | 682-885-1135
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Provider Business Mailing Address
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Address Line | 500 ALVARADO ST
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City | MANSFIELD
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State | TX
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Zip | 76063-1976
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1175186
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License Number State | TX
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