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Individual
JULIE C HARDY
Active
Individual
JULIE C HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J40T
MEDICARE ID
TX
01
—
L1603
MEDICAL LICENSE
TX
Enumeration date
07/31/2006
Last updated
02/06/2014
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