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General NPI Number Information
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NPI Number | 1932022068
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Entity Type | Individual
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Provider Name | PAYTON CHARLES HART
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Gender | Male
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 3400 OLD MILTON PKWY STE C390
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City | ALPHARETTA
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State | GA
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Zip | 30005-3714
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Country | US
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Telephone | 770-881-8100
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Fax | 770-881-8121
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Provider Business Mailing Address
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Address Line | 3400C OLD MILTON PKWY STE 390
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City | ALPHARETTA
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State | GA
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Zip | 30005-4438
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Country | US
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Telephone | 770-881-8100
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Fax | 770-881-8121
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA005552
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License Number State | GA
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