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General NPI Number Information
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NPI Number | 1073826806
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Entity Type | Individual
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Provider Name | ERIK WILLIAMS HASELHORST O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 7709 MENCHACA RD UNIT 29
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City | AUSTIN
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State | TX
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Zip | 78745-6026
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Country | US
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Telephone | 210-454-9852
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Fax | 512-253-7928
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Provider Business Mailing Address
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Address Line | 7709 MANCHACA RD UNIT 29
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City | AUSTIN
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State | TX
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Zip | 78745-6026
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Country | US
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Telephone | 210-454-9852
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7632T
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License Number State | TX
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