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General NPI Number Information
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NPI Number | 1508994575
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Entity Type | Individual
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Provider Name | LISA D HARDISON R.N.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2379 BUFFALO RD
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-4810
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Country | US
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Telephone | 931-762-9406
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Fax | 931-766-1592
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Provider Business Mailing Address
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Address Line | 7 ASHLEY CT
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-7441
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Country | US
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Telephone | 931-762-4620
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN0000065095
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License Number State | TN
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