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General NPI Number Information
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NPI Number | 1386516730
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Entity Type | Organization
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Legal Business Name | S. HARDAN PERIODONTICS & DENTAL IMPLANTS
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1450 E BOOT RD STE 200D
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City | WEST CHESTER
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State | PA
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Zip | 19380-5933
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Country | US
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Telephone | 610-857-7776
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Fax | 610-857-7781
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Provider Business Mailing Address
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Address Line | 1450 E BOOT RD STE 200D
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City | WEST CHESTER
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State | PA
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Zip | 19380-5933
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Country | US
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Telephone | 610-857-7776
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Fax | 610-857-7781
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMIA HARDAN
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Credential | MD, DMD
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Telephone | 610-731-8858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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