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General NPI Number Information
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NPI Number | 1194694174
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Entity Type | Organization
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Legal Business Name | HARDIE LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5933 STONEY CREEK DR
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City | FORT WAYNE
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State | IN
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Zip | 46825-4401
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Country | US
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Telephone | 260-207-4861
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Fax |
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Provider Business Mailing Address
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Address Line | 8316 REDSTONE DR
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City | FORT WAYNE
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State | IN
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Zip | 46835-4259
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Country | US
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Telephone | 920-348-3838
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SHAUN ALEXANDER HARDIE
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Credential | LMHC
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Telephone | 920-348-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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