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General NPI Number Information
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NPI Number | 1326911728
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Entity Type | Individual
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Provider Name | CARMEN R HAGEN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 502 WEST DERBY STREET
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City | OXFORD
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State | NE
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Zip | 68967
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Country | US
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Telephone | 308-824-3283
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Fax |
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Provider Business Mailing Address
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Address Line | 216 N DENVER AVE
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City | HASTINGS
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State | NE
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Zip | 68901-5138
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Country | US
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Telephone | 402-462-5107
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Fax | 402-462-5126
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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