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General NPI Number Information
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NPI Number | 1629573605
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Entity Type | Individual
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Provider Name | INGRID MARIE HAZA MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 4175 W 20TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-5874
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Country | US
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Telephone | 305-825-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 7943 SW 195TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33157-8132
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Country | US
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Telephone | 305-849-9670
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME151196
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License Number State | FL
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