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Individual
DR. JASON B HACK
Active
Individual
DR. JASON B HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9900860
NC
207P00000X
Emergency Medicine Physician
MD12717
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060416
RI MEDICARE
RI
01
—
01/27/2009
TUFTS HEALTH PLAN
MA
01
—
08/26/2008
BCBSRI
RI
01
—
09/11/2008
NHPRI
RI
01
—
1053303768
NPI
RI
01
—
1210A
BCBS NC
NC
05
—
2157683
—
MA
05
—
891210A
—
NC
01
—
930080949
RAILROAD MEDICARE
NC
05
—
JH72236
—
RI
Enumeration date
08/18/2005
Last updated
02/13/2024
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