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Individual
ANNE HAILE
Active
Individual
ANNE HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134652
PTAN
MD
01
—
134653ZA8X
GROUP MEMBER PROVIDER #
MD
01
—
ZA8X
MEDICARE SUFFIX
—
Enumeration date
04/20/2007
Last updated
08/04/2011
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