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General NPI Number Information
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NPI Number | 1306132360
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Entity Type | Individual
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Provider Name | DANIEL JOSEPH HACKETT JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 216 FOUNTAIN CT STE 250
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City | LEXINGTON
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State | KY
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Zip | 40509
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Country | US
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Telephone | 859-276-5008
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Fax | 859-278-0025
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Provider Business Mailing Address
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Address Line | 216 FOUNTAIN CT STE 250
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City | LEXINGTON
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State | KY
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Zip | 40509-2510
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Country | US
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Telephone | 859-276-5008
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Fax | 859-278-0025
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD60637982
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4848
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 50671
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License Number State | KY
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