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General NPI Number Information
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NPI Number | 1902137771
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Entity Type | Individual
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Provider Name | TERESA A HARDEN MSN, NP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 50 WILLOW ST SUITE #B
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City | NASHVILLE
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State | IN
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Zip | 47448-7031
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Country | US
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Telephone | 812-988-9327
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Fax | 812-988-7323
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Provider Business Mailing Address
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Address Line | 50 WILLOW ST SUITE #B
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City | NASHVILLE
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State | IN
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Zip | 47448-7031
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Country | US
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Telephone | 812-988-9327
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Fax | 812-988-7323
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71002632B
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License Number State | IN
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