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General NPI Number Information
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NPI Number | 1467624072
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Entity Type | Organization
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Legal Business Name | BARBARA B HACKMAN MD PC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD SUITE 205
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City | PAOLI
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State | PA
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Zip | 19301-1450
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Country | US
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Telephone | 610-651-7760
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Fax | 610-651-7767
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Provider Business Mailing Address
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Address Line | 30 S VALLEY RD SUITE 205
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City | PAOLI
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State | PA
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Zip | 19301-1450
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Country | US
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Telephone | 610-651-7760
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Fax | 610-651-7767
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA B HACKMAN
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Credential | MD
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Telephone | 610-651-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD072634L
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License Number State | PA
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