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General NPI Number Information
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NPI Number | 1285521260
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Entity Type | Individual
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Provider Name | EMMA HARDINA DO
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Gender | Female
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Dates
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Enumeration Date | 06/21/2025
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 4590 NASH WAY MAILSTOP: 90-29-928
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City | ST. LOUIS
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State | MO
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Zip | 63110
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Country | US
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Telephone | 314-362-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 CENTERPOINT CIR APT 306
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City | O FALLON
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State | IL
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Zip | 62269-2168
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Country | US
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Telephone | 928-279-9087
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2025025833
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License Number State | MO
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