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General NPI Number Information
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NPI Number | 1760522650
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Entity Type | Individual
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Provider Name | JEFF HARDIN MD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 125 QUEENS RD STE 500
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City | CHARLOTTE
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State | NC
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Zip | 28204-3512
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Country | US
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Telephone | 980-302-6380
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Fax | 980-302-6385
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 980-302-6380
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Fax | 980-302-6385
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A72958
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25965
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 598842
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License Number State | NC
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