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General NPI Number Information
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NPI Number | 1588047880
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Entity Type | Individual
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Provider Name | JOHN HAAS D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2015
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Last Update Date | 07/04/2015
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Provider Practice Location Address
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Address Line | 14920 LIGHTHOUSE RD APT 8207
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City | NAPLES
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State | FL
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Zip | 34119-7763
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Country | US
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Telephone | 402-202-7817
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Fax |
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Provider Business Mailing Address
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Address Line | 14920 LIGHTHOUSE RD APT 8207
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City | NAPLES
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State | FL
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Zip | 34119-7763
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Country | US
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Telephone | 402-202-7817
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11380
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1822
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License Number State | NE
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