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General NPI Number Information
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NPI Number | 1477645489
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Entity Type | Individual
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Provider Name | JOAN MURAD-HAID DO
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 01/15/2018
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Provider Practice Location Address
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Address Line | 399 E 21ST ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-4815
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Country | US
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Telephone | 909-882-2266
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60000
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City | LOS ANGELES
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State | CA
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Zip | 90060-6000
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 513
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20A7551
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License Number State | CA
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