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General NPI Number Information
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NPI Number | 1477479228
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Entity Type | Individual
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Provider Name | HALEY ANN DELOACH DDS
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 3939 GOVERNOR DR STE A
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City | SAN DIEGO
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State | CA
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Zip | 92122-2520
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Country | US
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Telephone | 858-358-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 4135 PARK BLVD UNIT 724
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City | SAN DIEGO
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State | CA
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Zip | 92103-2699
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Country | US
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Telephone | 615-519-9690
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 113250
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License Number State | CA
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