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General NPI Number Information
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NPI Number | 1902000227
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Entity Type | Organization
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Legal Business Name | JAMES LOWELL HAGAN,SR, M.D., LLC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 100 AURORA PL SUITE 200
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City | AIKEN
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State | SC
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Zip | 29801-6356
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Country | US
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Telephone | 803-649-6380
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Fax | 803-649-6187
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Provider Business Mailing Address
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Address Line | 100 AURORA PL SUITE 200
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City | AIKEN
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State | SC
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Zip | 29801-6356
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Country | US
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Telephone | 803-233-6576
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Fax | 803-233-4675
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. DEBBIE BERRY
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Credential |
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Telephone | 803-233-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 12240
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License Number State | SC
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