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General NPI Number Information
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NPI Number | 1972324796
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Entity Type | Individual
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Provider Name | VIRGINIA HARTMANN
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 6500 GENESEO CIR
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City | PLANO
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State | TX
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Zip | 75023-1615
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Country | US
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Telephone | 214-597-0473
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Fax | 972-491-5895
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Provider Business Mailing Address
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Address Line | 5835 SAND SHELL CT
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City | DALLAS
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State | TX
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Zip | 75252-2346
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Country | US
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Telephone | 214-597-0473
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Fax |
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 308706
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License Number State | TX
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