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General NPI Number Information
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NPI Number | 1558886432
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Entity Type | Individual
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Provider Name | ELMA G HABER
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Gender | Female
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 29995 ALICIA PKWY
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2090
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Country | US
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Telephone | 949-495-2383
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Fax |
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Provider Business Mailing Address
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Address Line | 24 ASH HOLLOW TRL
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City | LADERA RANCH
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State | CA
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Zip | 92694-0217
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Country | US
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Telephone |
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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 | 72369
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License Number State | CA
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