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Individual

ZACHARY JAMES HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, NP-C

Contact information

Practice address
68 DARST RD, BEAVERCREEK, OH 45440-3442
(937) 458-4900
Mailing address
8911 CAM DR, FRANKLIN, OH 45005-3001
(937) 825-5517

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.025696
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0374476
OH
Enumeration date
09/24/2019
Last updated
01/26/2021
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