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NPI 1578769931

NPI 1578769931 : KRISTIN LEIGH HARDEN BA : BRIDGEWATER, NJ

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General NPI Number Information
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    NPI Number           |    1578769931
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIN LEIGH HARDEN BA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2007
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    Last Update Date     |    08/06/2019
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Provider Practice Location Address
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    Address Line         |    500 N BRIDGE ST 
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    City                 |    BRIDGEWATER
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    State                |    NJ
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    Zip                  |    08807-2135
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    Country              |    US
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    Telephone            |    908-725-2800
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    Fax                  |    908-704-1790
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Provider Business Mailing Address
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    Address Line         |    5306 NC HIGHWAY 55 STE 105
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27713-7812
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    Country              |    US
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    Telephone            |    919-457-1517
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    Fax                  |    919-363-7697
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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       |    C011699
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    License Number State |    NC
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