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General NPI Number Information
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NPI Number | 1063593127
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Entity Type | Individual
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Provider Name | LARON L HARDY D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2699A SANDLIN RD SW SUITE 3
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City | DECATUR
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State | AL
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Zip | 35601-7344
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Country | US
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Telephone | 256-355-1049
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Fax | 866-525-0439
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Provider Business Mailing Address
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Address Line | 2699 SANDLIN RD SW # A SUITE 3
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City | DECATUR
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State | AL
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Zip | 35601-7344
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Country | US
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Telephone | 256-355-1049
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Fax | 866-525-0439
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1121
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License Number State | AL
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