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General NPI Number Information
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NPI Number | 1124342597
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Entity Type | Individual
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Provider Name | CHRISTY L HAAGEN CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 1740 CLEVELAND RD
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City | WOOSTER
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State | OH
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Zip | 44691-2204
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Country | US
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Telephone | 330-287-4500
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Fax | 814-355-8740
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Provider Business Mailing Address
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Address Line | 1740 CLEVELAND RD
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City | WOOSTER
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State | OH
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Zip | 44691-2204
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Country | US
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Telephone | 330-287-4500
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Fax | 814-355-8740
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN514277L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.438169
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP010580
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.021252
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License Number State | OH
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