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General NPI Number Information
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NPI Number | 1912764523
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Entity Type | Organization
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Legal Business Name | MICHAEL HARTLEY PLLC
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 100 MAGNOLIA SQUARE CT
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City | ABERDEEN
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State | NC
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Zip | 28315-2225
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Country | US
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Telephone | 910-638-5504
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Fax | 910-390-1678
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Provider Business Mailing Address
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Address Line | 100 MAGNOLIA SQUARE CT
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City | ABERDEEN
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State | NC
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Zip | 28315-2225
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Country | US
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Telephone | 910-638-5504
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Fax | 910-390-1678
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. MICHAEL HARTLEY
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Credential | RN MS CNS
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Telephone | 910-638-5504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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