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NPI Code Detail

MEDICARE: MRS. SHANNON S HACH MD

MEDICARE: MRS. SHANNON S HACH MD
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
1207Q00000XFamily Medicine PhysicianMD418076PA

General Provider Information

NPI Number : 1841263282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON S HACH MD
Provider Business Mailing Address
First Line : 62 GREENBRIAR DR
Second Line : SUITE 1
City : LEECHBURG
State : PA
Zip : 15656-8209
Country : US
Telephone Number : 724-845-7765
Fax Number : 724-845-8418
Provider Business Practice Location Address
First Line : 62 GREENBRIAR DR
Second Line : SUITE 1
City : LEECHBURG
State : PA
Zip : 15656-8209
Country : US
Telephone Number : 724-845-7765
Fax Number : 724-845-8418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 02/18/2010

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