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NPI 1205649811

NPI 1205649811 : HADLEY MEDICINE PLLC : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1205649811
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    Entity Type          |    Organization 
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    Legal Business Name  |    HADLEY MEDICINE PLLC 
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Dates
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    Enumeration Date     |    01/28/2025
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    Last Update Date     |    01/28/2025
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Provider Practice Location Address
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    Address Line         |    152 W FRANKLIN ST 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45459-4738
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    Country              |    US
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    Telephone            |    909-647-8554
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 751381 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45475-1381
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    Country              |    US
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    Telephone            |    909-647-8554
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVID A HADLEY 
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    Credential           |    MD
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    Telephone            |    909-647-8554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WW0000X
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    Taxonomy Name        |    Wound Care Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2088F0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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    License Number       |    
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    License Number State |    
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