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General NPI Number Information
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NPI Number | 1487792065
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Entity Type | Individual
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Provider Name | JAMES E. HASWELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 130 DIVISION ST LABORATORY, GRIFFIN HOSPITAL
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City | DERBY
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State | CT
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Zip | 06418-1326
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Country | US
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Telephone | 203-732-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 11 GREYSTONE FARM LN
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City | WESTPORT
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State | CT
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Zip | 06880-2750
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Country | US
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Telephone | 203-227-7665
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 031543
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License Number State | CT
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