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Individual
CHARLES B HADEN
Active
Individual
CHARLES B HADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035751
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101035751
STATE LICENSE
VA
05
—
010375355
—
VA
01
—
080001681
MEDICARE OTHER PROVIDER
VA
01
—
1538518
AETNA HMO
VA
01
—
2163415
MAMSI
VA
01
—
298282
ANTHEM TM
VA
01
—
5290269
AETNA NON HMO
VA
01
—
633556
AETNA CAP
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
11/09/2006
Last updated
10/03/2014
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