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General NPI Number Information
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NPI Number | 1972826113
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Entity Type | Individual
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Provider Name | KIM STEPNEN HASKINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 10609 INDIAN TRL
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City | COOPER CITY
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State | FL
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Zip | 33328-5513
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Country | US
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Telephone | 954-326-8488
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 292527
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City | DAVIE
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State | FL
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Zip | 33329-2527
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Country | US
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Telephone | 954-326-8488
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | ME44484
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License Number State | FL
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