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General NPI Number Information
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NPI Number | 1326149741
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Entity Type | Individual
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Provider Name | COLETTE A HAAG-RICKERT MD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 299 CAREW ST SUITE 215
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2301
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Country | US
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Telephone | 413-781-6210
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Fax | 413-733-7570
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Provider Business Mailing Address
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Address Line | 299 CAREW ST SUITE 215
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2301
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Country | US
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Telephone | 413-781-6210
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Fax | 413-733-7570
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 81145
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License Number State | MA
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