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General NPI Number Information
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NPI Number | 1558845305
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Entity Type | Individual
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Provider Name | STEVEN FREDERICK HAUF PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 301 N WASHINGTON AVE BSWQA PHARMACY DEPT C/O PAULA WALKER, RPH
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City | DALLAS TX 75246
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State | TX
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Zip | 75246-1754
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Country | US
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Telephone | 469-800-8330
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Fax | 469-800-8335
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Provider Business Mailing Address
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Address Line | 1109 BURLESON ST
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-5304
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Country | US
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Telephone | 817-271-2793
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 67105
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License Number State | TX
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