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General NPI Number Information
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NPI Number | 1023755030
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Entity Type | Organization
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Legal Business Name | OUMA HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 3267 BEE CAVES RD STE 107-334
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City | AUSTIN
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State | TX
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Zip | 78746-6700
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Country | US
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Telephone | 512-688-6504
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Fax |
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Provider Business Mailing Address
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Address Line | 2580 BEAR HOLLOW DR
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City | PARK CITY
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State | UT
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Zip | 84098-8525
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Country | US
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Telephone | 410-814-1872
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. SINA HAERI
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Credential | MD
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Telephone | 410-814-1872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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