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General NPI Number Information
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NPI Number | 1497842264
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Entity Type | Individual
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Provider Name | DAVID M HAGEL D.D.S., P.S.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 23515 NE NOVELTY HILL RD #209
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City | REDMOND
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State | WA
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Zip | 98053-1996
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Country | US
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Telephone | 425-898-7780
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Fax | 425-898-1310
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Provider Business Mailing Address
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Address Line | 23515 NE NOVELTY HILL RD #209
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City | REDMOND
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State | WA
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Zip | 98053-1996
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Country | US
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Telephone | 425-898-7780
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Fax | 425-898-1310
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5258
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License Number State | WA
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