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General NPI Number Information
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NPI Number | 1700547809
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Entity Type | Individual
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Provider Name | NEDA HAGHANI NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 01/01/2022
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 501 S IDAHO ST STE 260
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City | LA HABRA
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State | CA
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Zip | 90631-6594
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Country | US
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Telephone | 562-501-1680
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Fax |
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Provider Business Mailing Address
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Address Line | 113 WATERWORKS WAY STE 250
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City | IRVINE
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State | CA
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Zip | 92618-3169
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Country | US
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Telephone | 949-753-1522
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Fax | 949-753-6075
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95019420
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95019420
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License Number State | CA
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