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General NPI Number Information
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NPI Number | 1316389141
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Entity Type | Organization
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Legal Business Name | NAZIH M. HADDAD, MD INC.
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 400 NEWPORT CENTER DR 704
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7601
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Country | US
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Telephone | 949-720-0505
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Fax | 949-720-0534
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Provider Business Mailing Address
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Address Line | 400 NEWPORT CENTER DR 704
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7601
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Country | US
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Telephone | 949-720-0505
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Fax | 949-720-0534
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Authorized Official
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Title or Position | PROVIDER
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Name | NAZIH HADDAD
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Credential | MD
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Telephone | 949-720-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A31234
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License Number State | CA
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