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General NPI Number Information
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NPI Number | 1881039386
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Entity Type | Individual
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Provider Name | HASKELL DAVID HARDY III DVM
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Gender | Male
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 105 RANCH EST
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City | LAURENS
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State | SC
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Zip | 29360-6208
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Country | US
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Telephone | 864-200-1047
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Fax | 864-682-2898
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Provider Business Mailing Address
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Address Line | PO BOX 182
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City | LAURENS
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State | SC
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Zip | 29360-0182
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Country | US
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Telephone | 864-200-1047
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Fax | 864-682-2898
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 2248
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License Number State | SC
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