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General NPI Number Information
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NPI Number | 1073576187
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Entity Type | Individual
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Provider Name | MR. ROBERT NAHASS
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 310 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4201
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Country | US
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Telephone | 212-979-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 20 STANFORD CT
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City | TOTOWA
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State | NJ
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Zip | 07512-2132
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Country | US
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Telephone | 973-790-6152
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Fax | 973-389-4332
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | COO5642-1
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License Number State | NY
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