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General NPI Number Information
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NPI Number | 1053325217
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Entity Type | Individual
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Provider Name | HEATHER L HADDAD MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 5000 HENNESSY BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70808-4375
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Country | US
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Telephone | 225-757-0552
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Fax | 225-763-9997
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Provider Business Mailing Address
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Address Line | PO BOX 55309
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5309
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 28154
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 203303
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2006-00761
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License Number State | NC
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