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NPI Code Detail

MEDICARE: MR. JOHN R HARDMAN MD, RP

MEDICARE: MR. JOHN R HARDMAN MD, RP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorNLC0104740CO
2101YA0400XAddiction (Substance Use Disorder) CounselorNLC0104740CO
3101YM0800XMental Health CounselorNLC0104740CO
4101YA0400XAddiction (Substance Use Disorder) CounselorACD.0000718CO

General Provider Information

NPI Number : 1033148572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN R HARDMAN MD, RP
Provider Business Mailing Address
First Line : 12454 E ALASKA AVE
Second Line :
City : DENVER
State : CO
Zip : 80012-2354
Country : US
Telephone Number : 623-225-1613
Fax Number :
Provider Business Practice Location Address
First Line : 1693 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80045-2518
Country : US
Telephone Number : 720-848-3000
Fax Number : 720-848-3015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 03/16/2020

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