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General NPI Number Information
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NPI Number | 1023122256
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Entity Type | Individual
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Provider Name | DIANA LYNN HAGER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 3106 W UNIVERSITY AVE
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City | GUTHRIE
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State | OK
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Zip | 73044-8712
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Country | US
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Telephone | 405-282-9333
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Fax | 405-282-9598
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Provider Business Mailing Address
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Address Line | 3106 W UNIVERSITY AVE
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City | GUTHRIE
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State | OK
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Zip | 73044-7915
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Country | US
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Telephone | 405-282-9333
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Fax | 405-282-9598
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 18136
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 18136
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License Number State | OK
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