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General NPI Number Information
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NPI Number | 1497758460
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Entity Type | Individual
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Provider Name | THAD DAVID HARDIN M. D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1240 S PALESTINE ST
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City | ATHENS
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State | TX
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Zip | 75751-3619
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Country | US
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Telephone | 903-675-8111
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Fax | 903-675-3888
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Provider Business Mailing Address
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Address Line | 3355 EARL CAMPBELL PKWY
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City | TYLER
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State | TX
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Zip | 75701-8435
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Country | US
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Telephone | 903-526-0444
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Fax | 35-956-6509
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | L0248
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License Number State | TX
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