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General NPI Number Information
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NPI Number | 1629288782
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Entity Type | Individual
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Provider Name | WALID HADDAD LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7493 N ORACLE RD SUITE 123
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City | TUCSON
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State | AZ
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Zip | 85704-6343
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Country | US
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Telephone | 520-797-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 8851 N ORACLE RD SUITE 89
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City | ORO VALLEY
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State | AZ
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Zip | 85704-7447
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Country | US
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Telephone | 520-797-3292
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW 10879
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License Number State | AZ
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