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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 |