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1518074129 NPI number — SCOTT T HARDIN MD

NPI Number: 1518074129
Health Care Provider/Practitioner: SCOTT T HARDIN MD

Information about “1518074129” NPI (SCOTT T HARDIN MD) exists in 1518074129 in HTML format HTML  |  1518074129 in plain Text format TXT  |  1518074129 in PDF (Portable Document Format) PDF  |  1518074129 in an XML format XML  formats.

NPI Number : 1518074129 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518074129",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARDIN",
    "FirstName": "SCOTT",
    "MiddleName": "T",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 735044",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60673-5044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-326-2250",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3305 S 20TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILWAUKEE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53215-4940",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-645-1808",
    "PracticeLocationAddressFaxNumber": "414-645-1170",
    "EnumerationDate": "08/23/2006",
    "LastUpdateDate": "04/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "35697",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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