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General NPI Number Information
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NPI Number | 1821155417
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Entity Type | Individual
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Provider Name | JAMES I HART OD
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 735 HWY 377 E
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City | GRANBURY
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State | TX
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Zip | 76048
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Country | US
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Telephone | 817-279-0558
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Fax | 817-573-2450
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Provider Business Mailing Address
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Address Line | 1616 W HENDERSON
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City | CLEBURNE
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State | TX
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Zip | 76033
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Country | US
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Telephone | 817-774-9800
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Fax | 817-556-4600
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1904
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License Number State | TX
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