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General NPI Number Information
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NPI Number | 1346796455
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Entity Type | Organization
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Legal Business Name | MATTHEW HADEN MD, PLLC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 2201 MOUNT VERNON AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1313
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Country | US
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Telephone | 888-765-1444
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Fax | 866-895-6753
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Provider Business Mailing Address
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Address Line | 731 SEATON AVE #545
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City | ALEXANDRIA
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State | VA
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Zip | 22305-3047
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Country | US
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Telephone | 888-765-1444
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Fax | 866-895-6753
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW HADEN
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Credential | M.D.
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Telephone | 888-765-1444
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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 |
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License Number State |
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