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General NPI Number Information
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NPI Number | 1124083829
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Entity Type | Individual
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Provider Name | RICHARD HENRY HAGLEN MSPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 200 LINDELL BLVD SUITE 922
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3265
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Country | US
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Telephone | 561-278-6770
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Fax | 561-278-6771
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Provider Business Mailing Address
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Address Line | 2850 COMMERCE DR SUITE 100
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City | HARRISBURG
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State | PA
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Zip | 17110-9383
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Country | US
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Telephone | 717-541-4348
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Fax | 717-541-9576
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT015010
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT19964
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License Number State | FL
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