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General NPI Number Information
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NPI Number | 1942152376
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Entity Type | Organization
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Legal Business Name | JOHN HARDY MD LLC
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 7820 NE HOLMAN ST STE B7
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City | PORTLAND
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State | OR
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Zip | 97218-2859
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Country | US
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Telephone | 971-804-1906
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Fax | 971-270-2806
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Provider Business Mailing Address
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Address Line | 7820 NE HOLMAN ST STE B7
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City | PORTLAND
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State | OR
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Zip | 97218-2859
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Country | US
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Telephone | 971-804-1906
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Fax | 971-270-2806
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Authorized Official
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Title or Position | PHYSICIAN/MANAGING MEMBER
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Name | DR. JOHN HENRY HARDY JR.
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Credential | MD
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Telephone | 971-804-1906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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