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General NPI Number Information
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NPI Number | 1598055329
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Entity Type | Individual
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Provider Name | NIKKOLE MARIE HAINES MD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 30 HOPE DR STE 2400
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City | HERSHEY
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State | PA
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Zip | 17033-2036
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Country | US
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Telephone | 800-243-1455
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 858 A410
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City | HERSHEY
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State | PA
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Zip | 17033-0858
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Country | US
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Telephone | 800-243-1455
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Fax |
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 2025-00427
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License Number State | NC
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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 | MD464890
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License Number State | PA
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