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General NPI Number Information
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NPI Number | 1811346539
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Entity Type | Individual
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Provider Name | TIA HARDESTY APN-NP PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 22422 E MAIN ST
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City | PARKER
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State | CO
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Zip | 80138-7267
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Country | US
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Telephone | 303-841-7857
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Fax | 303-209-7854
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Provider Business Mailing Address
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Address Line | 2480 S JEBEL WAY
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City | AURORA
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State | CO
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Zip | 80013-8999
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Country | US
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Telephone | 720-296-9744
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN.0202553
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0993419-NP
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License Number State | CO
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