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NPI 1841404456

NPI 1841404456 : MR. JAMES THOMAS HARTNESS : BELMONT, NC

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General NPI Number Information
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    NPI Number           |    1841404456
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    Entity Type          |    Individual 
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    Provider Name        |    MR. JAMES THOMAS HARTNESS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/10/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    35 N MAIN ST 
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    City                 |    BELMONT
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    State                |    NC
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    Zip                  |    28012-3155
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    Country              |    US
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    Telephone            |    704-825-9998
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    Fax                  |    704-825-7735
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Provider Business Mailing Address
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    Address Line         |    35 N MAIN ST 
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    City                 |    BELMONT
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    State                |    NC
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    Zip                  |    28012-3155
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    Country              |    US
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    Telephone            |    704-825-9998
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    Fax                  |    704-825-7735
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    940
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    License Number State |    NC
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