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NPI Code Detail

MEDICARE: ANTHONY HARDEN JR.

MEDICARE:   ANTHONY  HARDEN JR.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568300606
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY HARDEN JR.
Provider Business Mailing Address
First Line : 2880 N TENAYA WAY FL 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0618
Country : US
Telephone Number : 702-480-8916
Fax Number :
Provider Business Practice Location Address
First Line : 2880 N TENAYA WAY FL 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0618
Country : US
Telephone Number : 702-480-8916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ ANTHONY HARDEN JR. ” Practice Location

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