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General NPI Number Information
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NPI Number | 1659461291
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Entity Type | Individual
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Provider Name | MARY HELEN HACKNEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 1250 E MARSHALL ST INTERNAL MEDICINE
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City | RICHMOND
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State | VA
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Zip | 23298-5051
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Country | US
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Telephone | 804-828-7999
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Fax | 804-827-2910
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Provider Business Mailing Address
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Address Line | PO BOX 91734
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City | RICHMOND
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State | VA
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Zip | 23291-1745
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Country | US
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Telephone | 804-358-6100
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Fax | 804-342-7619
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101-044361
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 0101-044361
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 0101044361
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License Number State | VA
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