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General NPI Number Information
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NPI Number | 1255492484
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Entity Type | Individual
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Provider Name | MARJORIE HARDY-HIBBERT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3015 N OCEAN BLVD STE C101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7300
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Country | US
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Telephone | 754-270-6322
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Fax | 754-270-6321
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Provider Business Mailing Address
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Address Line | 5111 NW 51ST TER
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City | TAMARAC
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State | FL
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Zip | 33319-6320
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Country | US
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Telephone | 305-331-8096
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2026252
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License Number State | FL
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