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General NPI Number Information
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NPI Number | 1922054220
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Entity Type | Organization
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Legal Business Name | KRIS A HAASE DPM PLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 7116 HIGHLAND RD
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City | WATERFORD
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State | MI
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Zip | 48327-1503
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Country | US
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Telephone | 248-666-8807
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Fax | 248-666-7709
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Provider Business Mailing Address
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Address Line | 7116 HIGHLAND RD
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City | WATERFORD
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State | MI
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Zip | 48327-1503
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Country | US
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Telephone | 248-666-8807
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Fax | 248-666-7709
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRIS A HAASE
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Credential | DPM
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Telephone | 248-666-8807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | KH001672
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License Number State | MI
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