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General NPI Number Information
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NPI Number | 1922073204
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Entity Type | Organization
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Legal Business Name | CRAIG G. HABER, M.D., LLC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 210 BUSINESS CENTER DR
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1230
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Country | US
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Telephone | 410-848-8202
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Fax | 410-848-2644
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Provider Business Mailing Address
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Address Line | 210 BUSINESS CENTER DR
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1230
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Country | US
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Telephone | 410-848-8202
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Fax | 410-848-2644
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | CRAIG HABER
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Credential | M.D.
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Telephone | 410-848-8202
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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 | D0024866
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License Number State | MD
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