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General NPI Number Information
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NPI Number | 1568936680
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Entity Type | Individual
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Provider Name | DARRELL W HARDIN OC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 34950 CHARDON RD STE 103
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-9162
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Country | US
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Telephone | 440-269-1166
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Fax | 440-269-1184
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Provider Business Mailing Address
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Address Line | 34950 CHARDON RD STE 103
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-9162
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Country | US
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Telephone | 440-269-1166
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Fax | 440-269-1184
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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 | 229N00000X
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Taxonomy Name | Anaplastologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1700X
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Taxonomy Name | Ocularist
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License Number | O.25
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License Number State | OH
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