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General NPI Number Information
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NPI Number | 1366404592
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Entity Type | Individual
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Provider Name | ERIC E HAEGER MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 415 HOSPITAL WAY SUITE 103
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City | BREWSTER
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State | WA
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Zip | 98812
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Country | US
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Telephone | 509-689-0100
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Fax | 509-689-0596
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Provider Business Mailing Address
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Address Line | PO BOX 1092
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City | BREWSTER
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State | WA
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Zip | 98812-1092
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Country | US
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Telephone | 509-689-6666
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Fax | 509-689-2330
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | MD00040450
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD00040450
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | MD00040450
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License Number State | WA
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