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General NPI Number Information
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NPI Number | 1992621510
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Entity Type | Individual
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Provider Name | MRS. ANNA KATHLEEN HAAK
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Gender | Female
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1126 N BROADWAY AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65802-4158
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Country | US
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Telephone | 417-242-1168
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 N GLENSTONE AVE # C135
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City | SPRINGFIELD
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State | MO
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Zip | 65803-4756
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Country | US
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Telephone | 417-988-0078
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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