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NPI 1649417809

NPI 1649417809 : MICHELLE ABBE HACKER, PLLC : GAINESVILLE, TX

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General NPI Number Information
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    NPI Number           |    1649417809
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHELLE ABBE HACKER, PLLC 
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Dates
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    Enumeration Date     |    01/09/2009
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    Last Update Date     |    04/25/2025
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Provider Practice Location Address
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    Address Line         |    302 S GRAND AVE 
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    City                 |    GAINESVILLE
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    State                |    TX
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    Zip                  |    76240-5015
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    Country              |    US
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    Telephone            |    940-641-3601
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    Fax                  |    940-295-4934
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Provider Business Mailing Address
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    Address Line         |    302 S GRAND AVE 
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    City                 |    GAINESVILLE
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    State                |    TX
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    Zip                  |    76240-5015
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    Country              |    US
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    Telephone            |    940-641-3601
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    Fax                  |    940-295-4934
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |    MRS. MICHELLE DIANES HACKER 
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    Credential           |    FNP-C
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    Telephone            |    940-641-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    658966
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    License Number State |    TX
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