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General NPI Number Information
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NPI Number | 1407951189
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Entity Type | Individual
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Provider Name | SAMUEL J. HARDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 3838 SAN DIMAS ST SUITE B-100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2284
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Country | US
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Telephone | 661-326-0088
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Fax | 661-861-0214
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Provider Business Mailing Address
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Address Line | 3838 SAN DIMAS ST SUITE B-100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2284
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Country | US
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Telephone | 661-326-0088
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Fax | 661-861-0214
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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 | G27532
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License Number State | CA
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