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Dr. Charles J Hardebeck

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NPI Number Detailed Information

Provider Information:

Name: Dr. Charles J Hardebeck
Gender: M
Provider License Number If Given: 35047571

NPI Information:

NPI: 1508869736
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 9/17/2010

Provider Business Mailing Address:

Address: 700 ACKERMAN RD SUITE 385
Columbus, OH 43202
Phone Number: 6149473700
Fax Number: 6149473771

Provider Business Practice Location Address:

Address: 473 W 12TH AVE HLRI, 2ND FLOOR
Columbus, OH 43210
Phone Number: 6149473700
Fax Number: 6149473771

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any): 207RC0000X
State: OH

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