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Individual
LORETTA ANN HART
Active
Individual
LORETTA ANN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02440
NC
363A00000X
Physician Assistant
PA9105523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-02440
PHYSICIAN ASSISTANT LICENSE
NC
01
—
PA9105523
LICENSE
FL
Enumeration date
09/08/2010
Last updated
10/25/2020
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