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General NPI Number Information
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NPI Number | 1982674438
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Entity Type | Individual
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Provider Name | BRIAN PAUL HAUSER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 24541 PACIFIC PARK DR STE 210
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3050
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Country | US
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Telephone | 949-940-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CALLE DE LAS SONATAS
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2885
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Country | US
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Telephone | 949-940-5440
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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 | M-15199
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License Number State | ID
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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 | C136227
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License Number State | CA
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