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Individual
DR. RAYMOND ALLEN HACKETT
Active
Individual
DR. RAYMOND ALLEN HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
30657
MN
208800000X
Urology Physician
Primary
45767
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06173HA
BLUE CROSS
—
05
—
084583300
—
MN
01
—
101379C118
UCARE
—
01
—
1900010
MEDICA PRIMARY
—
01
—
1912600
MEDICA
—
01
—
340004898
RAILROAD MEDICARE
MN
05
—
34603700
—
WI
05
—
7100228250
—
KY
01
—
961240267002
PREFERRED ONE
—
01
—
A06082
WAUSAU
—
01
—
HP13441
HEALTHPARTNERS
—
01
—
P01427472
RR MEDICARE
KY
Enumeration date
08/20/2006
Last updated
12/03/2020
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