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General NPI Number Information
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NPI Number | 1013195676
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Entity Type | Individual
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Provider Name | DESIREE CAROLINA HARDWICK OTR/L; NTMTC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 12601 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34609-5009
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Country | US
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Telephone | 352-559-9500
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Fax | 352-559-0585
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Provider Business Mailing Address
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Address Line | 13163 HAVERHILL DR
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City | SPRING HILL
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State | FL
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Zip | 34609-0643
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Country | US
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Telephone | 915-253-1691
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT19354
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 007043
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License Number State | OH
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