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General NPI Number Information
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NPI Number | 1104965987
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Entity Type | Individual
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Provider Name | ROGER HAAS MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 331 ROUTE 206 STE 2B
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4781
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Country | US
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Telephone | 908-308-8016
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Fax | 732-463-6065
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Provider Business Mailing Address
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Address Line | 425 AMWELL RD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1213
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Country | US
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Telephone | 908-874-3030
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Fax | 908-874-4291
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA03572900
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License Number State | NJ
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