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General NPI Number Information
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NPI Number | 1780747741
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Entity Type | Organization
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Legal Business Name | JAMES C HAUN MD INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 311 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484-1949
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Country | US
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Telephone | 330-856-6377
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Fax | 330-856-5871
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Provider Business Mailing Address
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Address Line | 311 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484-1949
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Country | US
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Telephone | 330-856-6377
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Fax | 330-856-5871
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES CHARLES HAUN
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Credential | MD
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Telephone | 330-856-6377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35067361
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License Number State | OH
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