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General NPI Number Information
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NPI Number | 1881646917
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Entity Type | Individual
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Provider Name | CYNTHIA L HAQ MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 2441 W LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-2658
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Country | US
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Telephone | 657-282-6356
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S MANCHESTER AVE STE 300
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City | ORANGE
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State | CA
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Zip | 92868-3219
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Country | US
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Telephone | 714-456-8888
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26311
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G152578
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License Number State | CA
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