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General NPI Number Information
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NPI Number | 1669767141
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Entity Type | Individual
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Provider Name | JENNIFER L. HARDY RPH
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Gender | Female
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 900 S US HIGHWAY 27
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City | SAINT JOHNS
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State | MI
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Zip | 48879-2436
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Country | US
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Telephone | 989-224-7075
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Fax | 989-224-1606
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Provider Business Mailing Address
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Address Line | 900 S US HIGHWAY 27
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City | SAINT JOHNS
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State | MI
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Zip | 48879-2436
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Country | US
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Telephone | 989-224-7075
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Fax | 989-224-1606
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26016818A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03218126
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302024743
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License Number State | MI
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