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NPI 1386624302

NPI 1386624302 : DEANNA HALLER DO : GILBERT, AZ

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General NPI Number Information
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    NPI Number           |    1386624302
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    Entity Type          |    Individual 
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    Provider Name        |    DEANNA HALLER DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2006
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    3493 S MERCY RD 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85297-0434
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    Country              |    US
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    Telephone            |    520-694-5437
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    Fax                  |    520-874-7070
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Provider Business Mailing Address
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    Address Line         |    3493 S MERCY RD 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85297-0434
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    Country              |    US
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    Telephone            |    480-827-5042
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    Fax                  |    480-827-5096
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    3022
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    License Number State |    AZ
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