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General NPI Number Information
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NPI Number | 1508842006
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Entity Type | Individual
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Provider Name | BRIAN HAGER DO
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Gender | Male
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 04/29/2009
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Provider Practice Location Address
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Address Line | 3725 EMERALD BAY CIR
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City | LAS VEGAS
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State | NV
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Zip | 89147-6817
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Country | US
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Telephone | 702-686-9347
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Fax | 888-340-2427
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Provider Business Mailing Address
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Address Line | 3725 EMERALD BAY CIRCLE
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City | LAS VEGAS
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State | NV
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Zip | 89147-6817
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Country | US
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Telephone | 702-686-9347
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Fax | 888-340-2427
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1233
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License Number State | NV
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