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General NPI Number Information
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NPI Number | 1811613805
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Entity Type | Individual
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Provider Name | ANNA GRACE HAAS CNM
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/15/2022
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Provider Practice Location Address
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Address Line | 5819 N FM 88
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City | WESLACO
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State | TX
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Zip | 78599-3275
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Country | US
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Telephone | 956-969-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 11600 PUESTA DEL SOL DR
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City | WESLACO
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State | TX
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Zip | 78599-3580
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Country | US
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Telephone | 570-332-2149
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1036261
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License Number State | TX
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