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General NPI Number Information
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NPI Number | 1093291353
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Entity Type | Individual
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Provider Name | MIRIAM ROSE WINTHROP HABER MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 760 WESTWOOD PLZ STE 37-384
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City | LOS ANGELES
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State | CA
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Zip | 90024-5055
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Country | US
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Telephone | 310-206-6721
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 LAS TUNAS RD
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City | SANTA BARBARA
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State | CA
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Zip | 93103-1722
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Country | US
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Telephone | 805-895-5684
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | A164783
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A164783
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A164783
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License Number State | CA
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