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General NPI Number Information
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NPI Number | 1316022148
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Entity Type | Individual
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Provider Name | SAMUEL JAMES HARDEN MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 415 N AVENUE F
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City | DENVER CITY
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State | TX
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Zip | 79323-2741
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Country | US
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Telephone | 806-592-9501
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 JIMMY JOHNSON STE 205
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City | PORT ARTHUR
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State | TX
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Zip | 77640-2009
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Country | US
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Telephone | 706-582-2344
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Fax | 706-582-2344
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M0746
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 00017674
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 18392
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD2023-0268
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License Number State | NM
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