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General NPI Number Information
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NPI Number | 1114071206
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Entity Type | Organization
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Legal Business Name | HACKETT MEDICAL LTD
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8300 TYLER BLVD SUITE 300
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City | MENTOR
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State | OH
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Zip | 44060-4217
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Country | US
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Telephone | 440-205-1529
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Fax | 440-205-0840
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Provider Business Mailing Address
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Address Line | 8300 TYLER BLVD SUITE 300
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City | MENTOR
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State | OH
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Zip | 44060-4217
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Country | US
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Telephone | 440-205-1529
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Fax | 440-205-0840
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Authorized Official
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Title or Position | OWNER HACKETT MEDICAL LTD.
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Name | DR. MARTHA NOFZIGER HACKETT
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Credential | M.D.
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Telephone | 440-205-1529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35043939
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License Number State | OH
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