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NPI Code Detail

MEDICARE: MISS JODI LYNN HAHN R.N.

MEDICARE:  MISS JODI LYNN HAHN  R.N.
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
1163W00000XRegistered Nurse568331-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487710877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JODI LYNN HAHN R.N.
Provider Business Mailing Address
First Line : PO BOX 336
Second Line :
City : BERGEN
State : NY
Zip : 14416-0336
Country : US
Telephone Number : 585-494-0045
Fax Number :
Provider Business Practice Location Address
First Line : 51 ROCHESTER ST
Second Line :
City : BERGEN
State : NY
Zip : 14416-0336
Country : US
Telephone Number : 585-494-0045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 07/08/2007

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Directions to “ MISS JODI LYNN HAHN R.N.” Practice Location

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