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General NPI Number Information
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NPI Number | 1801389580
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Entity Type | Individual
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Provider Name | MICHAEL HAUK MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 3801 FAIRFAX DR STE 31
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City | ARLINGTON
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State | VA
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Zip | 22203-1762
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Country | US
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Telephone | 571-229-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 FAIRFAX DR STE 31
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City | ARLINGTON
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State | VA
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Zip | 22203-1762
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Country | US
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Telephone | 571-229-5081
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT216060
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 4351048005
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 0101277806
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License Number State | VA
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