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General NPI Number Information
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NPI Number | 1194932293
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Entity Type | Organization
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Legal Business Name | R DOUGLAS HAHN MD PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 10 BRIDGE STREET
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City | MILFORD
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State | NJ
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Zip | 08848
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Country | US
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Telephone | 908-995-9555
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Fax | 908-995-4500
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Provider Business Mailing Address
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Address Line | PO BOX 518 10 BRIDGE STREET
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City | MILFORD
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State | NJ
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Zip | 08848-0518
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Country | US
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Telephone | 908-995-9555
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Fax | 908-995-4500
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT DOUGLAS HAHN
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Credential | MD
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Telephone | 908-995-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 49173
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License Number State | NJ
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