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General NPI Number Information
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NPI Number | 1518761584
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Entity Type | Individual
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Provider Name | AUTUMN PAIGE HABAS DDS
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 615 W CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6223
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Country | US
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Telephone | 715-833-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 2070 22 7/8 AVE
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City | RICE LAKE
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State | WI
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Zip | 54868-9712
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Country | US
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Telephone | 715-651-3669
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6001801-15
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License Number State | WI
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