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General NPI Number Information
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NPI Number | 1497863310
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Entity Type | Individual
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Provider Name | JOE MARCUS HAGLER RPH
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 124 W STEPHENSON AVE
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City | HARRISON
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State | AR
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Zip | 72601-4224
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Country | US
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Telephone | 870-741-2361
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Fax | 870-741-9747
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Provider Business Mailing Address
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Address Line | 5962 TERRAPIN RD
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City | HARRISON
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State | AR
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Zip | 72601-9081
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Country | US
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Telephone | 870-365-2611
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Fax | 870-741-9747
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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 | 7035AR
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License Number State | AR
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