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NPI Code Detail

MEDICARE: MR. NICHOLAS HAKIEL ED.S

MEDICARE: MR. NICHOLAS HAKIEL ED.S
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
1174400000XSpecialist37116CWA

General Provider Information

NPI Number : 1831439025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NICHOLAS HAKIEL ED.S
Provider Business Mailing Address
First Line : 34332 SULTAN STARTUP RD
Second Line :
City : SULTAN
State : WA
Zip : 98294-9670
Country : US
Telephone Number : 360-799-2313
Fax Number :
Provider Business Practice Location Address
First Line : 514 4TH ST
Second Line :
City : SULTAN
State : WA
Zip : 98294-9474
Country : US
Telephone Number : 360-793-9831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2013
Last Update Date : 02/25/2013

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Directions to “ MR. NICHOLAS HAKIEL ED.S” Practice Location

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