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General NPI Number Information
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NPI Number | 1114170875
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Entity Type | Individual
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Provider Name | PATRICIA CHRISTINE HASEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 31 AREA BRANCH MEDICAL CLINIC
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5191
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Country | US
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Telephone | 760-725-7135
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Fax | 760-725-6668
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Provider Business Mailing Address
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Address Line | P.O. BOX 555191 31 AREA BRANCH MEDICAL CLINIC
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City | CAMP PENDLETON
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State | CA
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Zip | 92055-5191
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Country | US
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Telephone | 760-725-7135
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Fax | 760-725-6668
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 500989
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364SE0003X
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Taxonomy Name | Emergency Clinical Nurse Specialist
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License Number | 500989
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License Number State | CA
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