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General NPI Number Information
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NPI Number | 1639267768
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Entity Type | Individual
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Provider Name | RONALD ROBERT HAGGETT A.N.P.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 2925 DEBARR RD. SUITE 300
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City | ANCHORAGE
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State | AK
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Zip | 99508
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Country | US
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Telephone | 907-279-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 DEBARR RD. SUITE # 300
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City | ANCHORAGE
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State | AK
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Zip | 99508
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Country | US
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Telephone | 501-686-8000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A02948
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1372
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License Number State | AK
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