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General NPI Number Information
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NPI Number | 1700669645
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Entity Type | Individual
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Provider Name | NEHA HAIDER
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Gender | Female
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 6587 VIRGINIA PKWY
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City | MCKINNEY
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State | TX
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Zip | 75071-5511
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Country | US
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Telephone | 972-548-8382
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Fax |
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Provider Business Mailing Address
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Address Line | 5904 SHOREFRONT LN
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City | FLOWER MOUND
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State | TX
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Zip | 75022-5579
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Country | US
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Telephone | 940-368-2217
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1130354
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License Number State | TX
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