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General NPI Number Information
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NPI Number | 1982190484
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Entity Type | Individual
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Provider Name | DARIUS J HARDRICK
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Gender | Male
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 7375 WOODWARD AVE STE 2800
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City | DETROIT
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State | MI
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Zip | 48202-3157
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Country | US
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Telephone | 888-922-2843
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Fax | 855-568-2494
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Provider Business Mailing Address
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Address Line | 18726 S WESTERN AVE STE 408
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City | GARDENA
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State | CA
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Zip | 90248-3858
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Country | US
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Telephone | 310-856-0800
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Fax | 855-568-2494
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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