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General NPI Number Information
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NPI Number | 1679067060
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Entity Type | Individual
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Provider Name | SAMUEL PAUL HANGER DMD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 1 PINCKNEY BLVD
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City | FPO
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State | AA
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Zip | 22902
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Country | US
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Telephone | 843-228-5994
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MERIDIAN RD
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City | BEAUFORT
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State | SC
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Zip | 29907-1402
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN.00203650
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License Number State | CO
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