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General NPI Number Information
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NPI Number | 1821007790
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Entity Type | Individual
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Provider Name | GLORIA JEAN HARDWICK MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2421 AUSTIN AVE
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City | BROWNWOOD
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State | TX
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Zip | 76801-4929
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Country | US
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Telephone | 325-646-2155
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Fax | 325-646-9361
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Provider Business Mailing Address
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Address Line | 2421 AUSTIN AVE
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City | BROWNWOOD
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State | TX
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Zip | 76801-4929
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Country | US
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Telephone | 325-646-2155
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Fax | 325-646-9361
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17631
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License Number State | TX
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