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General NPI Number Information
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NPI Number | 1851482475
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Entity Type | Individual
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Provider Name | THOMAS G HARTMANN MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 2345 DOUGHERTY FERRY RD EMERGENCY DEPARTMENT
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3313
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Country | US
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Telephone | 314-966-9666
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Fax |
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Provider Business Mailing Address
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Address Line | 12467 MATTHEWS LANE
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City | ST LOUIS
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State | MO
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Zip | 63127
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Country | US
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Telephone | 314-842-3943
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R9107
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License Number State | MO
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