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General NPI Number Information
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NPI Number | 1366571283
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Entity Type | Individual
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Provider Name | MICHAEL HAGAN RPH
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Gender | Male
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 111 MICHIGAN AVENUE NW, 4 MAIN SUITE 4847 DIVISION OF PHARMACY - CHILDREN'S NATIONAL HOSPITAL
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City | WASHINGTON
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State | DC
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Zip | 20010
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Country | US
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Telephone | 301-572-6275
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | LISBON
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State | MD
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Zip | 21765-0054
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Country | US
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Telephone | 443-927-1788
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14368
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License Number State | MD
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