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General NPI Number Information
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NPI Number | 1457775280
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Entity Type | Individual
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Provider Name | HAI MAI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 5940 LOSEE RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-6591
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Country | US
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Telephone | 702-639-9002
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Fax |
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Provider Business Mailing Address
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Address Line | 5940 LOSEE RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-6591
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Country | US
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Telephone | 702-639-9002
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17031
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License Number State | NV
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