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General NPI Number Information
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NPI Number | 1700849825
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Entity Type | Individual
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Provider Name | REGINA ALLEN HARDIN MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 8130 66TH ST N STE 11
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2111
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Country | US
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Telephone | 727-265-1353
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Fax | 727-265-1353
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Provider Business Mailing Address
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Address Line | 8130 66TH ST N STE 11
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2111
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Country | US
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Telephone | 727-265-1353
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Fax | 570-202-9973
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 045033
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License Number State | GA
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