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NPI Code Detail

MEDICARE: STACEY HACHENBERG L.AC.

MEDICARE: STACEY HACHENBERG L.AC.
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
1171100000XAcupuncturistU01067MD

General Provider Information

NPI Number : 1659526549
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY HACHENBERG L.AC.
Provider Business Mailing Address
First Line : 8 GREENSPRING VALLEY RD STE 100
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8 GREENSPRING VALLEY RD STE 100
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4143
Country : US
Telephone Number : 410-654-8997
Fax Number : 410-654-8449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2008
Last Update Date : 11/19/2008

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Directions to “ STACEY HACHENBERG L.AC.” Practice Location

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