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General NPI Number Information
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NPI Number | 1891746541
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Entity Type | Individual
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Provider Name | GREGORY P. HARDERS MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3100 TONGASS AVE
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City | KETCHIKAN
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State | AK
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Zip | 99901-5746
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Country | US
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Telephone | 907-225-5171
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Fax | 907-370-2533
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Provider Business Mailing Address
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Address Line | ONE VANTAGEWAY, SUITE B240 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC
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City | NASHVILLE
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State | TN
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Zip | 37228-1562
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Country | US
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Telephone | 615-329-4020
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Fax | 615-327-5475
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 52680
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 75805
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 28351
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 214852
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License Number State | AK
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