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General NPI Number Information
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NPI Number | 1134276165
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Entity Type | Individual
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Provider Name | MICHAEL HENRY HARDS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 3525 ADMIRALTY CT
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City | BELLE ISLE
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State | FL
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Zip | 32812-3521
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Country | US
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Telephone | 407-496-1639
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Fax |
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Provider Business Mailing Address
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Address Line | 3525 ADMIRALTY CT
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City | BELLE ISLE
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State | FL
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Zip | 32812-3521
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Country | US
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Telephone | 407-496-1639
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30-01-6901
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN9372
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License Number State | FL
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