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General NPI Number Information
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NPI Number | 1033119268
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Entity Type | Individual
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Provider Name | KATHERINE E JONES HARDESTY O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 1484 N GREEN RIVER RD
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City | EVANSVILLE
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State | IN
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Zip | 47715-2429
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Country | US
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Telephone | 812-477-0623
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Fax | 812-473-5653
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Provider Business Mailing Address
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Address Line | 1484 N GREEN RIVER RD
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City | EVANSVILLE
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State | IN
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Zip | 47715-2429
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Country | US
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Telephone | 812-477-0623
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Fax | 812-473-5653
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18001910B
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License Number State | IN
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