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General NPI Number Information
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NPI Number | 1013003474
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH HARTSOCK JR. O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1000 ROBINSON CENTER DR SEARS OPTICAL
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City | PITTSBURGH
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State | PA
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Zip | 15205-4828
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Country | US
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Telephone | 412-490-0988
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Fax | 412-494-9759
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Provider Business Mailing Address
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Address Line | 101 CAMDEN CT
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City | PITTSBURGH
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State | PA
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Zip | 15237-2331
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Country | US
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Telephone | 412-398-5565
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Fax | 412-494-9759
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OE-007169-T
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0601001706
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License Number State | VA
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