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General NPI Number Information
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NPI Number | 1487682092
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Entity Type | Individual
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Provider Name | NISREEN ABBAS HAIDERI MD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 12140 NALL AVE STE 200
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City | OVERLAND PARK
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State | KS
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Zip | 66209-2507
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Country | US
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Telephone | 913-498-7409
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Fax | 913-498-7470
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Provider Business Mailing Address
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Address Line | 12140 NALL AVE STE 200
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City | OVERLAND PARK
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State | KS
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Zip | 66209-2507
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Country | US
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Telephone | 913-498-7409
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Fax | 913-498-7470
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2004021784
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 04-33380
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2004021784
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 04-33380
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License Number State | KS
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