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General NPI Number Information
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NPI Number | 1164463550
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Entity Type | Individual
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Provider Name | ANTHONY J HAFTEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 1717 S I ST
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City | TACOMA
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State | WA
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Zip | 98405-5031
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Country | US
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Telephone | 253-426-6898
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Fax | 253-426-6963
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Provider Business Mailing Address
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Address Line | 12228 59TH AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8128
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Country | US
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Telephone | 253-229-0579
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Fax | 253-858-2218
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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 | MD00015514
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License Number State | WA
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