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NPI 1417043571

NPI 1417043571 : BRENDA L HARDIN LCSE : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1417043571
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    Entity Type          |    Individual 
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    Provider Name        |    BRENDA L HARDIN LCSE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    06/20/2025
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Provider Practice Location Address
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    Address Line         |    5926 CRAWFORDSVILLE RD 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46224-3722
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    Country              |    US
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    Telephone            |    317-653-2730
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    Fax                  |    317-321-1935
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Provider Business Mailing Address
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    Address Line         |    PO BOX 746720 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30374-6720
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    Country              |    US
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    Telephone            |    773-828-0232
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    Fax                  |    312-929-0373
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    34005983A.
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    IN
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