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General NPI Number Information
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NPI Number | 1649656273
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Entity Type | Organization
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Legal Business Name | STEPHEN J. HARDMAN
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 1450 E 820 N
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City | OREM
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State | UT
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Zip | 84097-5481
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Country | US
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Telephone | 385-204-2135
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 E 820 N
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City | OREM
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State | UT
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Zip | 84097-5481
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Country | US
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Telephone | 385-204-2135
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MR. STEPHEN J HARDMAN
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Credential | MHA, MS, LCMHC
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Telephone | 385-204-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 75857936004
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License Number State | UT
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