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General NPI Number Information
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NPI Number | 1316830144
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Entity Type | Individual
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Provider Name | REBECCA ANN HAGAN RN
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 10211 ALM ST STE 1200
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City | RALEIGH
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State | NC
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Zip | 27617-8221
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Country | US
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Telephone | 919-206-4889
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 PLANTERS TRAIL CT
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City | KNIGHTDALE
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State | NC
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Zip | 27545-8893
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Country | US
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Telephone | 252-864-9775
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 294975
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License Number State | NC
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