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General NPI Number Information
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NPI Number | 1538753843
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Entity Type | Individual
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Provider Name | JASON L HAGAN MSN APRN AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 3100 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33613-4613
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Country | US
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Telephone | 407-303-7283
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Fax | 407-303-0473
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Provider Business Mailing Address
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Address Line | 3100 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33613-4613
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Country | US
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Telephone | 407-303-7283
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Fax | 407-303-0473
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN1101862
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | APRN1101862
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11011862
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License Number State | FL
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