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General NPI Number Information
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NPI Number | 1124838891
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Entity Type | Organization
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Legal Business Name | HAUMEA MEDICAL, INC.
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1257 PLEASANT GROVE BLVD. STE 110, RM 9
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City | ROSEVILLE
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State | CA
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Zip | 95678
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Country | US
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Telephone | 916-980-6814
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Fax |
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Provider Business Mailing Address
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Address Line | 1257 PLEASANT GROVE BLVD. STE 110, RM 9
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City | ROSEVILLE
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State | CA
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Zip | 95678
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Country | US
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Telephone | 916-980-6814
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. MA. LUZ ISABEL MOLINA MOLINA
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Credential | NP
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Telephone | 916-980-6814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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