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General NPI Number Information
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NPI Number | 1154509107
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Entity Type | Organization
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Legal Business Name | DAVID E SAUSNER, O.D.,PLLC
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 1018 PARK BLVD
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2711
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Country | US
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Telephone | 516-798-9226
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Fax | 516-798-2087
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Provider Business Mailing Address
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Address Line | 1018 PARK BLVD
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2711
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Country | US
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Telephone | 516-798-9226
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Fax | 516-798-2087
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID E SAUSNER
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Credential | O.D.
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Telephone | 516-798-9226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TUV004709-1
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License Number State | NY
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