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General NPI Number Information
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NPI Number | 1982415428
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Entity Type | Organization
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Legal Business Name | RICHARD HAZEN MD PLLC
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 2304 HIGHWAY 121
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City | BEDFORD
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State | TX
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Zip | 76021-5985
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Country | US
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Telephone | 214-243-8706
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Fax |
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Provider Business Mailing Address
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Address Line | 7212 WALDON CT
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City | COLLEYVILLE
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State | TX
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Zip | 76034-7320
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Country | US
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Telephone | 214-243-8706
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Fax |
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Authorized Official
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Title or Position | INTERNAL MEDICINE PULMONARY DISEASE
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Name | DR. RICHARD W HAZEN
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Credential | MD
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Telephone | 214-243-8706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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