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General NPI Number Information
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NPI Number | 1457599649
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Entity Type | Organization
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Legal Business Name | AMANDA L. HABER, OD, PLLC
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 2290 KING AVE W
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City | BILLINGS
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State | MT
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Zip | 59102-7415
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Country | US
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Telephone | 406-656-2898
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Fax |
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Provider Business Mailing Address
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Address Line | 2290 KING AVE W
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City | BILLINGS
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State | MT
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Zip | 59102-7415
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Country | US
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Telephone | 406-656-2898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA L HABER
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Credential | OD
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Telephone | 406-656-2898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 767
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License Number State | MT
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