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General NPI Number Information
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NPI Number | 1932483153
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Entity Type | Organization
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Legal Business Name | PAUL K HARTMANN DDS PLLC
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 1323 JAMESTOWN RD SUITE 203
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3367
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Country | US
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Telephone | 757-253-2393
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Fax | 757-595-4784
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Provider Business Mailing Address
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Address Line | 732 THIMBLE SHOALS BLVD SUITE 202 B
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4218
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Country | US
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Telephone | 757-595-8961
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Fax | 757-595-4784
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Authorized Official
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Title or Position | OWNER
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Name | PAUL KIMBALL HARTMANN
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Credential | DDS
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Telephone | 757-595-8961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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