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General NPI Number Information
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NPI Number | 1508361437
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Entity Type | Individual
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Provider Name | ALECIA HAGMAN DO
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 338 S DAKOTA AVE STE I-356
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City | VANDENBERG AFB
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State | CA
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Zip | 93437-6317
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Country | US
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Telephone | 999-999-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 338 S DAKOTA AVE
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City | VANDENBERG AFB
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State | CA
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Zip | 93437-6307
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 287957
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License Number State | MA
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