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1922422120 NPI number — CAROLYN ADELE HARDIN D.O.

NPI Number: 1922422120
Health Care Provider/Practitioner: CAROLYN ADELE HARDIN D.O.

Information about “1922422120” NPI (CAROLYN ADELE HARDIN D.O.) exists in 1922422120 in HTML format HTML  |  1922422120 in plain Text format TXT  |  1922422120 in PDF (Portable Document Format) PDF  |  1922422120 in an XML format XML  formats.

NPI Number : 1922422120 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922422120",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARDIN",
    "FirstName": "CAROLYN",
    "MiddleName": "ADELE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HARDIN",
    "OtherFirstName": "CAROLYN",
    "OtherMiddleName": "ADELE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "D.O.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2238 NELSON HWY STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHAPEL HILL",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27517-8914",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-401-1994",
    "MailingAddressFaxNumber": "919-401-1924",
    "FirstLinePracticeLocationAddress": "110 PRESTON EXECUTIVE DR STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27513-8447",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-653-1344",
    "PracticeLocationAddressFaxNumber": "919-401-1924",
    "EnumerationDate": "02/07/2014",
    "LastUpdateDate": "06/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "S9985",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "2025-00469",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207ND0101X",
          "TaxonomyName": "MOHS-Micrographic Surgery Physician",
          "LicenseNumber": "S9985",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207ND0101X",
          "TaxonomyName": "MOHS-Micrographic Surgery Physician",
          "LicenseNumber": "2025-00469",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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