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General NPI Number Information
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NPI Number | 1447336664
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Entity Type | Individual
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Provider Name | DEREK ANTHONY HAAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 7515 GREENVILLE AVE STE 1030
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City | DALLAS
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State | TX
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Zip | 75231-3866
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Country | US
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Telephone | 214-224-0778
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Fax | 214-224-0779
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Provider Business Mailing Address
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Address Line | 7515 GREENVILLE AVE STE 1030
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City | DALLAS
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State | TX
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Zip | 75231-3866
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Country | US
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Telephone | 214-224-0778
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Fax | 214-224-0779
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | L2916
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License Number State | TX
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