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General NPI Number Information
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NPI Number | 1578889200
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Entity Type | Individual
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Provider Name | RICHARD EDWIN HAIGLER MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 10/25/2020
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Provider Practice Location Address
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Address Line | 7138 VILLAGE MEDICAL CIR
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City | CLEMMONS
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State | NC
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Zip | 27012-8004
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Country | US
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Telephone | 336-893-2100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 336-893-2400
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | BP10037398
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2016-00336
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License Number State | NC
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