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General NPI Number Information
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NPI Number | 1407458060
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Entity Type | Organization
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Legal Business Name | MEREDITH M. HARDY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 3424 FRANKFORD AVE
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City | LUBBOCK
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State | TX
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Zip | 79407-3722
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Country | US
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Telephone | 806-375-4787
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64232
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City | LUBBOCK
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State | TX
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Zip | 79464-4232
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Country | US
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Telephone | 806-375-4787
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MEREDITH M HARDY
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Credential |
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Telephone | 806-375-4787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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