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General NPI Number Information
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NPI Number | 1891730339
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Entity Type | Organization
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Legal Business Name | HARDER FAMILY PRACTICE PA
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2820 OHIO ST
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City | AUGUSTA
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State | KS
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Zip | 67010-2361
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Country | US
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Telephone | 316-775-7500
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Fax | 316-775-3685
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Provider Business Mailing Address
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Address Line | 2820 OHIO ST
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City | AUGUSTA
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State | KS
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Zip | 67010-2361
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Country | US
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Telephone | 316-775-7500
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Fax | 316-775-3685
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ROBIN KAY HOEFGEN
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Credential |
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Telephone | 316-775-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-28837
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License Number State | KS
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