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General NPI Number Information
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NPI Number | 1962367201
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Entity Type | Organization
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Legal Business Name | HB HEALTH & OUTDOORS LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 119 MILL RUN LOOP
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City | SOUTH MILLS
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State | NC
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Zip | 27976-8000
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Country | US
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Telephone | 252-548-4154
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Fax |
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Provider Business Mailing Address
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Address Line | 119 MILL RUN LOOP
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City | SOUTH MILLS
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State | NC
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Zip | 27976-8000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/APRN
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Name | LAPORSCHA HARDMON
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Credential |
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Telephone | 252-548-4154
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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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