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Mr. William H Hardin

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NPI Number Detailed Information

Provider Information:

Name: Mr. William H Hardin
Gender: M
Provider License Number If Given: 85999-3617

NPI Information:

NPI: 1073508552
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 5/1/2017

Provider Business Mailing Address:

Address: 4660 BLUEBONNET BLVD
Baton Rouge, LA 70809
Phone Number: 2257678550
Fax Number: 2257678556

Provider Business Practice Location Address:

Address: 4660 BLUEBONNET BLVD
Baton Rouge, LA 70809
Phone Number: 2257678550
Fax Number: 2257678556

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any):
State: LA

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