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General NPI Number Information
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NPI Number | 1679864441
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Entity Type | Individual
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Provider Name | DOUGLAS JAMES HESS D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 4541 52ND AVE S STE 100
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City | FARGO
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State | ND
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Zip | 58104-5565
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Country | US
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Telephone | 701-552-6578
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Fax | 701-380-5115
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Provider Business Mailing Address
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Address Line | 4541 52ND AVE S STE 100
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City | FARGO
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State | ND
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Zip | 58104-5565
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Country | US
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Telephone | 701-552-6578
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Fax | 701-380-5115
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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 | 9968
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 58770
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4382
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12818
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 58770
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 9968
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License Number State | SD
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Taxonomy #7
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 12818
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License Number State | ND
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