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General NPI Number Information
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NPI Number | 1851407605
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Entity Type | Individual
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Provider Name | DAVID M. HADDEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 5151 N. PALM AVENUE SUITE 200
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City | FRESNO
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State | CA
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Zip | 93704-2221
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Country | US
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Telephone | 559-226-1200
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Fax | 559-226-8432
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Provider Business Mailing Address
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Address Line | 5151 N. PALM AVENUE SUITE 200
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City | FRESNO
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State | CA
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Zip | 93704-2221
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Country | US
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Telephone | 559-226-1200
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Fax | 559-226-8432
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G16077
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License Number State | CA
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