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General NPI Number Information
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NPI Number | 1902332927
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Entity Type | Organization
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Legal Business Name | HARTNETT PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 800 WOODLAWN AVE STE B
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City | WILMINGTON
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State | DE
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Zip | 19805-2815
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Country | US
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Telephone | 302-229-9710
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Fax | 302-401-4975
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Provider Business Mailing Address
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Address Line | 810 W 24TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-3336
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Country | US
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Telephone | 302-229-9710
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Fax | 302-401-4975
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Authorized Official
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Title or Position | OWNER & PHYSICAL THERAPIST
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Name | JOSEPH HARTNETT
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Credential | DPT, OCS
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Telephone | 302-229-9710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | J1-0002569
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License Number State | DE
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