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General NPI Number Information
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NPI Number | 1053322396
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Entity Type | Organization
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Legal Business Name | JOHN E. HACKMAN, M.D.P.A.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1722 PINE ST SUITE 1001
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City | MONTGOMERY
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State | AL
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Zip | 36106-1103
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Country | US
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Telephone | 334-834-1663
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Fax | 334-834-1936
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Provider Business Mailing Address
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Address Line | 1722 PINE ST SUITE 1001
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City | MONTGOMERY
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State | AL
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Zip | 36106-1103
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Country | US
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Telephone | 334-834-1663
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Fax | 334-834-1936
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN E HACKMAN
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Credential | M.D.
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Telephone | 334-834-1663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 7331
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License Number State | AL
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