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General NPI Number Information
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NPI Number | 1184614190
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Entity Type | Individual
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Provider Name | MICHAEL G. HAAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 6760 CORPORATE DR STE 180
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-5905
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Country | US
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Telephone | 719-272-4227
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Fax | 719-272-3834
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Provider Business Mailing Address
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Address Line | 6760 CORPORATE DR STE 180
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-5905
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Country | US
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Telephone | 719-272-4227
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Fax | 719-272-3834
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD2005-0516
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 46502
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License Number State | CO
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