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General NPI Number Information
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NPI Number | 1477754273
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Entity Type | Individual
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Provider Name | DANIELLE S HAUGH LMT
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5995 BIG TREE RD
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City | LAKEVILLE
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State | NY
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Zip | 14480-9735
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Country | US
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Telephone | 585-346-2270
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Fax | 585-346-0328
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Provider Business Mailing Address
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Address Line | 95 BIG TREE ST
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City | LIVONIA
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State | NY
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Zip | 14487-9710
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Country | US
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Telephone | 585-346-0162
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Fax | 585-346-0328
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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 | 27 014040
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License Number State | NY
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