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General NPI Number Information
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NPI Number | 1053478057
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Entity Type | Individual
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Provider Name | SAYEEDA HADI OD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 1907 DEPTFORD CENTER RD STE 8
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City | DEPTFORD
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State | NJ
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Zip | 08096-5633
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Country | US
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Telephone | 856-772-1683
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Fax |
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Provider Business Mailing Address
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Address Line | 11103 WEST AVE SUITE 6
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1370
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Country | US
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Telephone | 210-524-6663
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Fax | 210-524-6587
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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 | OE008554T
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License Number State | PA
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