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General NPI Number Information
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NPI Number | 1508370909
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Entity Type | Organization
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Legal Business Name | KI HASSLER, DO, LLC
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 1215 JACARANDA BLVD
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City | VENICE
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State | FL
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Zip | 34292
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Country | US
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Telephone | 941-451-8282
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Fax | 941-451-8434
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Provider Business Mailing Address
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Address Line | 1215 JACARANDA BLVD
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City | VENICE
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State | FL
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Zip | 34292-4520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KI HASSLER
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Credential | DO
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Telephone | 941-726-7316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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