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General NPI Number Information
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NPI Number | 1568977098
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Entity Type | Individual
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Provider Name | ANDRES HARO
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Gender | Male
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 3738 W 146TH ST
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City | HAWTHORNE
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State | CA
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Zip | 90250-8457
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Country | US
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Telephone | 213-453-0134
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S AVE K STATION 3, SHROC
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City | PORTALES
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State | NM
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Zip | 88130
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 29535
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License Number State | CA
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