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General NPI Number Information
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NPI Number | 1295831410
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Entity Type | Individual
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Provider Name | SHARI LYNN HAUSMAN OD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 04/08/2011
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Provider Practice Location Address
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Address Line | 4250 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10033-3748
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Country | US
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Telephone | 212-795-5640
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Fax | 212-927-6200
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Provider Business Mailing Address
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Address Line | 15 EAGLE RDG
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City | MONTVALE
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State | NJ
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Zip | 07645-1357
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Country | US
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Telephone | 201-505-0151
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Fax | 212-927-8600
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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 | TUV005254-1
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License Number State | NY
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