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General NPI Number Information
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NPI Number | 1528471216
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Entity Type | Individual
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Provider Name | RYAN HAGARMAN
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Gender | Male
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 5580 CALLE REAL
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City | GOLETA
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State | CA
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Zip | 93111-1646
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Country | US
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Telephone | 805-617-7878
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Fax | 805-617-7880
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Provider Business Mailing Address
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Address Line | 414 E COTA ST FL 1
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1624
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Country | US
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Telephone | 805-617-7878
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Fax | 805-617-7880
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 101063
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License Number State | CA
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