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General NPI Number Information
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NPI Number | 1194764738
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Entity Type | Individual
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Provider Name | CHRISTOPHER H HA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1412 BLUE OAKS BLVD
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City | ROSEVILLE
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State | CA
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Zip | 95747-7143
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Country | US
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Telephone | 916-784-7546
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Fax | 916-784-7548
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Provider Business Mailing Address
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Address Line | 1412 BLUE OAKS BLVD
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City | ROSEVILLE
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State | CA
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Zip | 95747-7143
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Country | US
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Telephone | 916-784-7546
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Fax | 916-784-7548
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A60428
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License Number State | CA
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