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General NPI Number Information
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NPI Number | 1720769037
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Entity Type | Individual
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Provider Name | DILLON MICHAEL HAGAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 2686 PATTERSON RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8817
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Country | US
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Telephone | 970-298-7153
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Fax | 970-298-7754
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Provider Business Mailing Address
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Address Line | 742 GLEN CT UNIT 40
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8280
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 23140
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RP457697
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PHA.0024992
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License Number State | CO
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