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General NPI Number Information
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NPI Number | 1134320765
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Entity Type | Individual
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Provider Name | PHILIP A HANGER PH.D
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 13403 N GOVERNMENT WAY UNIT 215
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City | HAYDEN
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State | ID
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Zip | 83835-8900
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Country | US
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Telephone | 208-889-5053
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Fax | 208-567-4157
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Provider Business Mailing Address
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Address Line | 3255 CAMINO DEL RIO S
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City | SAN DIEGO
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State | CA
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Zip | 92108-3806
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Country | US
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Telephone |
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY202760
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY202760
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License Number State | ID
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