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NPI 1629069562

NPI 1629069562 : DANIEL M HAILE MD : COOKEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1629069562
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL M HAILE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/31/2005
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    Last Update Date     |    10/13/2025
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Provider Practice Location Address
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    Address Line         |    2298 HERBERT GARRETT RD 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38506-3400
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    Country              |    US
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    Telephone            |    615-686-1958
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2298 HERBERT GARRETT RD 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38506-3400
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    Country              |    US
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    Telephone            |    615-686-1958
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    43048
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    License Number State |    TN
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