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NPI Code Detail

MEDICARE: GLENN RAYMOND HARDIN III

MEDICARE:   GLENN RAYMOND HARDIN III
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
1175T00000XPeer SpecialistAPS.007298OH

General Provider Information

NPI Number : 1912834375
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN RAYMOND HARDIN III
Provider Business Mailing Address
First Line : 8044 MONTGOMERY RD STE 120
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2919
Country : US
Telephone Number : 513-607-5128
Fax Number :
Provider Business Practice Location Address
First Line : 8044 MONTGOMERY RD.
Second Line : SUITE 120
City : DAYTON
State : OH
Zip : 45405-2346
Country : US
Telephone Number : 586-850-4435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/26/2026

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Directions to “ GLENN RAYMOND HARDIN III ” Practice Location

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