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General NPI Number Information
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NPI Number | 1346796224
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Entity Type | Organization
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Legal Business Name | CASE HAUB CONSULTING
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 8345 COACHLIGHT DR
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8522
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Country | US
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Telephone | 515-556-9719
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Fax | 844-965-9043
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Provider Business Mailing Address
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Address Line | 8345 COACHLIGHT DRIVE
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City | WEST DES MOINES
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State | IA
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Zip | 50266
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Country | US
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Telephone | 515-556-9719
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Fax | 844-965-9043
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Authorized Official
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Title or Position | CEO
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Name | DR. MICHAEL JOHN CASE HAUB
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Credential | PHARMD
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Telephone | 515-556-9719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19725
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License Number State | IA
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