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NPI Code Detail

MEDICARE: MR. PAUL G HARDICK

MEDICARE: MR. PAUL G HARDICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW013034PA

General Provider Information

NPI Number : 1194723932
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL G HARDICK
Provider Business Mailing Address
First Line : 200 NORTH 7TH STREET
Second Line :
City : LEBANON
State : PA
Zip : 17046
Country : US
Telephone Number : 717-273-1710
Fax Number : 717-273-1416
Provider Business Practice Location Address
First Line : 1 GREYSTONE RD
Second Line :
City : CARLISLE
State : PA
Zip : 17013-2660
Country : US
Telephone Number : 717-245-9255
Fax Number : 717-245-9198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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