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General NPI Number Information
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NPI Number | 1538350939
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Entity Type | Individual
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Provider Name | GARY LAMONT HARDY LISW, LMSW, CCDC
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Gender | Male
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 1900 E. NORTHERN PARKWAY SUITE T-7
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City | BALTIMORE
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State | MD
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Zip | 21239-1609
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Country | US
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Telephone | 443-449-7573
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Fax | 443-449-7583
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Provider Business Mailing Address
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Address Line | 1900 E. NORTHERN PARKWAY, SUITE T7
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City | BALTIMORE
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State | MD
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Zip | 21239
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Country | US
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Telephone | 443-449-7573
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Fax | 443-449-7583
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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 |
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License Number State |
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