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General NPI Number Information
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NPI Number | 1063668523
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Entity Type | Individual
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Provider Name | PHILIP CAREY HARDEE D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 1104 SANFORD RD
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City | ANDALUSIA
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State | AL
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Zip | 36420-4150
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Country | US
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Telephone | 334-222-1153
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Fax | 334-427-7233
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Provider Business Mailing Address
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Address Line | PO BOX 1111
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City | ANDALUSIA
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State | AL
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Zip | 36420-1222
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Country | US
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Telephone | 334-222-1153
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Fax | 334-427-7233
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 2960
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License Number State | AL
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