Basic Information
Provider Information
NPI: 1649561457
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HACKER
FirstName: KARI
MiddleName: EMA
NamePrefix:  
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
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Mailing Information
Address1: 101 MANNING DR
Address2: DEPARTMENT OF OB/GYN,CB# 7570,OLD CLINIC
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9199665671
FaxNumber: 9198431480
Practice Location
Address1: 6740 4TH AVE FL 3
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112205350
CountryCode: US
TelephoneNumber: 9294552705
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/27/2011
LastUpdateDate: 08/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 03/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X294442NYN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VX0201X294442NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology

No ID Information.


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