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General NPI Number Information
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NPI Number | 1457233710
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Entity Type | Organization
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Legal Business Name | HAAKU HEALTH
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 80 B VETERANS BLVD
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City | SAN FIDEL
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State | NM
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Zip | 87049
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Country | US
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Telephone | 505-280-7720
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Fax | 505-280-7720
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | SAN FIDEL
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State | NM
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Zip | 87049-0040
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Country | US
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Telephone | 505-280-7720
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JANAY MAUPIN
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Credential |
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Telephone | 505-280-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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