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General NPI Number Information
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NPI Number | 1710240916
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Entity Type | Individual
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Provider Name | KARL JOHN HAGER JR. NP
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Gender | Male
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | PO BOX 46
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City | EKALAKA
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State | MT
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Zip | 59324-0046
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Country | US
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Telephone | 406-775-8730
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Fax | 406-775-6479
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Provider Business Mailing Address
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Address Line | 2 SPRINGSIDE CT
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City | HATTIESBURG
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State | MS
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Zip | 39402-7053
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Country | US
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Telephone | 601-270-9568
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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 | 3013514
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License Number State | KY
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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 | NUR-APRN-LIC-174678
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R870265
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R870265
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-174678
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License Number State | MT
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Taxonomy #6
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | NUR-APRN-LIC-174678
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License Number State | MT
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