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General NPI Number Information
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NPI Number | 1285072207
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Entity Type | Organization
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Legal Business Name | DOUG HASSENPFLUG PLLC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 5006 MOUNTVIEW PL
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City | BRENTWOOD
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State | TN
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Zip | 37027-6557
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Country | US
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Telephone | 480-206-3740
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Fax | 615-922-3740
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Provider Business Mailing Address
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Address Line | 5006 MOUNTVIEW PL
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City | BRENTWOOD
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State | TN
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Zip | 37027-6557
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Country | US
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Telephone | 480-206-3740
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOUG H HASSENPFLUG
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Credential | OD
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Telephone | 480-206-3740
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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 | OD0000003086
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License Number State | TN
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