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General NPI Number Information
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NPI Number | 1659505519
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Entity Type | Individual
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Provider Name | JAMES HAAS C.O.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 163 SOUTH ST UNIT 2
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City | PITTSFIELD
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State | MA
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Zip | 01201-6988
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Country | US
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Telephone | 413-442-0017
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Fax | 413-442-0020
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Provider Business Mailing Address
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Address Line | 300 BIRNIE AVE SUITE 303
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1107
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Country | US
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Telephone | 413-737-2404
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Fax | 413-733-1389
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | CO004133
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License Number State |
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