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NPI Code Detail

MEDICARE: ZACHARY JAMES HALE APRN, NP-C

MEDICARE: ZACHARY JAMES HALE APRN, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerAPRN.CNP.025696OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356992028
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY JAMES HALE APRN, NP-C
Provider Business Mailing Address
First Line : 8911 CAM DR
Second Line :
City : FRANKLIN
State : OH
Zip : 45005-3001
Country : US
Telephone Number : 937-825-5517
Fax Number :
Provider Business Practice Location Address
First Line : 68 DARST RD
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45440-3442
Country : US
Telephone Number : 937-458-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2019
Last Update Date : 01/26/2021

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