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General NPI Number Information
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NPI Number | 1164728895
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Entity Type | Individual
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Provider Name | ANDREW HAGEMASTER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1 JARRETT WHITE RD TAMC PSYCHOLOGY ATTN: MAJ HAGEMASTER
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City | TRIPLER ARMY MEDICAL CENTER
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State | HI
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Zip | 96859-5001
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Country | US
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Telephone | 808-433-3281
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Fax | 808-433-1466
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Provider Business Mailing Address
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Address Line | MARTIN ARMY COMMUNITY HOSPITAL 6600 VAN AALST BLVD. BLVD. 9250
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City | FORT MOORE
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State | GA
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Zip | 31905
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Country | US
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Telephone | 209-345-8579
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 04719
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License Number State | MD
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