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General NPI Number Information
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NPI Number | 1255294922
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Entity Type | Individual
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Provider Name | CAMERON EASTON HARDING DPT
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2030 GLADE RD STE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051-7360
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Country | US
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Telephone | 817-684-0397
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Fax | 817-684-8253
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Provider Business Mailing Address
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Address Line | PO BOX 2650
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City | COPPELL
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State | TX
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Zip | 75019-8607
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Country | US
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Telephone | 972-724-2400
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Fax | 972-724-2495
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | TX
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