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NPI 1366709727

NPI 1366709727 : LINDSEY NICOLE HARDY O.D. : SEYMOUR, IN

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General NPI Number Information
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    NPI Number           |    1366709727
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY NICOLE HARDY O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2012
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    Last Update Date     |    02/03/2015
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Provider Practice Location Address
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    Address Line         |    631 E TIPTON ST STE 2 
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    City                 |    SEYMOUR
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    State                |    IN
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    Zip                  |    47274-3519
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    Country              |    US
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    Telephone            |    812-522-4444
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    Fax                  |    812-522-2634
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Provider Business Mailing Address
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    Address Line         |    631 E TIPTON ST STE 2 
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    City                 |    SEYMOUR
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    State                |    IN
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    Zip                  |    47274-3519
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    Country              |    US
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    Telephone            |    812-522-4444
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    Fax                  |    812-522-2634
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    18003717A
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    License Number State |    IN
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