MEDICARE: MRS. TAMI RENEE HARDIN

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
1	171W00000X	Contractor		OH
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1427261148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMI RENEE HARDIN

Provider Business Mailing Address
First Line	:	160 LAKEWOOD DR APT 53
Second Line	:
City	:	BELLEFONTAINE
State	:	OH
Zip	:	43311-2839
Country	:	US
Telephone Number	:	937-539-1532
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 LAKEWOOD DR APT 53
Second Line	:
City	:	BELLEFONTAINE
State	:	OH
Zip	:	43311-2839
Country	:	US
Telephone Number	:	937-539-1532
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/13/2025

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