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Individual
RICHARD HACKER
Active
Individual
RICHARD HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362387
—
MA
01
—
33040
HARVARD PILGRIM
—
01
—
33396
HARVARD PILGRIM
—
01
—
709822
TUFTS
—
Enumeration date
08/01/2006
Last updated
11/10/2011
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