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General NPI Number Information
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NPI Number | 1407978570
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Entity Type | Organization
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Legal Business Name | CYNTHIA J HARDWICK, PHD, LLP
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 01/12/2008
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Provider Practice Location Address
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Address Line | 100 PARKVIEW AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-4908
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Country | US
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Telephone | 910-485-1819
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Fax | 910-485-1870
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Provider Business Mailing Address
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Address Line | 100 PARKVIEW AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-4908
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Country | US
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Telephone | 910-485-1819
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Fax | 910-485-1870
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | CYNTHIA J HARDWICK
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Credential | PHD
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Telephone | 910-485-1819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2100
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License Number State | NC
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