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General NPI Number Information
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NPI Number | 1639969991
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Entity Type | Organization
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Legal Business Name | ANDREW T. HABER, M.D., L.L.C.
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 11111 N SCOTTSDALE RD STE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6737
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Country | US
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Telephone | 602-463-7406
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Fax | 866-282-3513
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Provider Business Mailing Address
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Address Line | 11111 N SCOTTSDALE RD STE 240
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6737
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Country | US
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Telephone | 602-463-7406
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Fax | 866-282-3513
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANDREW T HABER
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Credential | MD
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Telephone | 602-463-7406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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