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General NPI Number Information
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NPI Number | 1831255207
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Entity Type | Individual
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Provider Name | ELIZABETH HARDIN OD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 2319 MIAMISBURG CENTERVILLE RD
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City | DAYTON
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State | OH
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Zip | 45459-3773
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Country | US
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Telephone | 937-435-0315
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Fax |
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Provider Business Mailing Address
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Address Line | 383 CLEAR SPRINGS CT
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City | CARLISLE
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State | OH
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Zip | 45005-7322
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Country | US
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Telephone | 513-504-2415
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5041
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License Number State | OH
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