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General NPI Number Information
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NPI Number | 1174653935
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Entity Type | Individual
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Provider Name | KATHLEEN E HASS
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 258 N NEW RD
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-2170
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Country | US
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Telephone | 609-646-4064
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Fax |
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Provider Business Mailing Address
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Address Line | 1036 BLUEBIRD CIR
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City | MAYS LANDING
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State | NJ
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Zip | 08330-5614
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Country | US
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Telephone | 609-241-0053
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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 | 246XC2901X
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Taxonomy Name | Cardiovascular Invasive Specialist/Technologist
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License Number | 111290
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License Number State | CO
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