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General NPI Number Information
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NPI Number | 1689813107
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER HAGE MD
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 5016 RUBIO AVE
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City | ENCINO
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State | CA
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Zip | 91436-1123
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Country | US
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Telephone | 818-257-3285
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Fax | 818-528-7674
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Provider Business Mailing Address
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Address Line | 5016 RUBIO AVE
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City | ENCINO
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State | CA
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Zip | 91436-1123
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Country | US
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Telephone | 818-257-3285
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Fax | 818-528-7674
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER HAGE
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Credential | MD
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Telephone | 818-257-3285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A90308
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License Number State | CA
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