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General NPI Number Information
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NPI Number | 1609914068
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Entity Type | Individual
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Provider Name | MARYE ELIZABETH HACKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 336 DEERFIELD RD
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City | BOONE
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State | NC
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Zip | 28607-5008
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Country | US
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Telephone | 828-262-4399
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Fax |
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Provider Business Mailing Address
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Address Line | 502 DEERFIELD FOREST PKWY
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City | BOONE
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State | NC
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Zip | 28607-8452
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Country | US
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Telephone | 828-264-9596
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | NC9300486
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | NC9300486
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License Number State | NC
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