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General NPI Number Information
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NPI Number | 1689996514
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Entity Type | Individual
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Provider Name | M. KATHLEEN MOYNIHAN HARDART M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 4 LOCUST LN
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City | BRONXVILLE
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State | NY
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Zip | 10708-4916
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Country | US
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Telephone | 914-793-7895
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LOCUST LN
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City | BRONXVILLE
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State | NY
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Zip | 10708-4916
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Country | US
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Telephone | 914-793-7895
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Fax |
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 234110
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License Number State | NY
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