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General NPI Number Information
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NPI Number | 1538113873
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Entity Type | Individual
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Provider Name | DOUGLAS D HAGE MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7020 ERIE RD
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City | DERBY
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State | NY
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Zip | 14047-9306
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Country | US
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Telephone | 716-947-4545
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Fax | 716-947-6146
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Provider Business Mailing Address
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Address Line | 905 HARLEM RD
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City | WEST SENECA
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State | NY
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Zip | 14224-1066
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Country | US
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Telephone | 716-825-1398
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Fax | 716-825-3834
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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 | 188832
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License Number State | NY
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