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General NPI Number Information
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NPI Number | 1790109098
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Entity Type | Individual
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Provider Name | HAIDER MICHAEL KALHAN B.D.S
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Gender | Male
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 11/11/2023
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Provider Practice Location Address
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Address Line | 518 W 1ST AVE
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City | TOPPENISH
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State | WA
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Zip | 98948-1564
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Country | US
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Telephone | 509-865-3886
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Fax | 509-865-6391
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Provider Business Mailing Address
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Address Line | 3800 BYRON AVE STE 100
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City | BELLINGHAM
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State | WA
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Zip | 98229-2877
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Country | US
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Telephone | 360-282-0804
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Fax | 360-550-6505
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | RR60356146
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60465251
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License Number State | WA
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