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General NPI Number Information
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NPI Number | 1932979499
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Entity Type | Individual
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Provider Name | PATRICIA (TRICIA) HAGER PHD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 4963 NE GOODVIEW CIR STE C
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2491
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Country | US
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Telephone | 816-209-7716
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Fax | 816-477-3026
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Provider Business Mailing Address
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Address Line | 4963 NE GOODVIEW CIR STE C
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2491
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Country | US
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Telephone | 660-441-1424
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2016008725
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License Number State | MO
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