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General NPI Number Information
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NPI Number | 1861003527
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Entity Type | Individual
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Provider Name | KYLE JAMES HARDWICK MD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4301 WILSON ST
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City | LAWTON
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State | OK
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Zip | 73503-4472
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Country | US
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Telephone | 765-210-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 11274 NE JERE LAYNE
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City | ELGIN
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State | OK
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Zip | 73538-3810
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01087993A
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License Number State | IN
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