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General NPI Number Information
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NPI Number | 1912011909
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Entity Type | Organization
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Legal Business Name | E HARTMAN LLC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 397 WALLACE RD SUITE 405
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City | NASHVILLE
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State | TN
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Zip | 37211-4854
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Country | US
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Telephone | 615-834-1398
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Fax | 615-834-7898
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Provider Business Mailing Address
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Address Line | 397 WALLACE RD SUITE 405
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City | NASHVILLE
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State | TN
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Zip | 37211-4854
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Country | US
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Telephone | 615-834-1398
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Fax | 615-834-7898
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Authorized Official
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Title or Position | OWNER
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Name | ENOCH HARTMAN
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Credential | RPH
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Telephone | 615-834-1398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0000000337
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License Number State | TN
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