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General NPI Number Information
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NPI Number | 1043259773
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Entity Type | Individual
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Provider Name | DAVID BRIAN HAUGLAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 424 W HIGHWAY 5
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City | WACONIA
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State | MN
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Zip | 55387-1723
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Country | US
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Telephone | 952-442-4461
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Fax | 952-442-1547
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Provider Business Mailing Address
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Address Line | 3000 HUNDERTMARK RD SUITE 5
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City | CHASKA
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State | MN
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Zip | 55318-1150
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Country | US
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Telephone | 952-556-0120
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Fax | 952-556-0121
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 38826
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38826
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License Number State | MN
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