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General NPI Number Information
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NPI Number | 1588773675
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Entity Type | Individual
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Provider Name | FRANCES EDNA HAGAMAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 2924 KNIGHT ST BUILDING 3 SUITE 350
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City | SHREVEPORT
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State | LA
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Zip | 71105-2415
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Country | US
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Telephone | 318-862-3053
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Fax | 318-862-3080
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Provider Business Mailing Address
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Address Line | 748 ERIE ST
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City | SHREVEPORT
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State | LA
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Zip | 71106-1814
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Country | US
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Telephone | 318-861-2354
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 009429
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License Number State | LA
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