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General NPI Number Information
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NPI Number | 1023065570
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Entity Type | Individual
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Provider Name | DEIRDRE ALLISON HABERMEHL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 18800 MAIN ST STE 204
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1707
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Country | US
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Telephone | 949-548-6376
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Fax | 866-677-2855
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Provider Business Mailing Address
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Address Line | 18800 MAIN ST STE 204
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1707
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Country | US
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Telephone | 949-548-6376
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Fax | 866-677-2855
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G60299
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | G60299
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License Number State | CA
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