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NPI Code Detail

MEDICARE: HANNAH TAYLOR GAGE MS

MEDICARE: HANNAH TAYLOR GAGE MS
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1871224618
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH TAYLOR GAGE MS
Provider Business Mailing Address
First Line : 3410 WORTH ST STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75246-2008
Country : US
Telephone Number : 214-818-8999
Fax Number :
Provider Business Practice Location Address
First Line : 3410 WORTH ST STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75246-2008
Country : US
Telephone Number : 214-818-8999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 06/22/2022

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Directions to “ HANNAH TAYLOR GAGE MS” Practice Location

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