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General NPI Number Information
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NPI Number | 1518238559
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Entity Type | Organization
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Legal Business Name | DR SAYED HASAN OD
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 7640 MENTOR AVE
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City | MENTOR
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State | OH
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Zip | 44060-5420
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Country | US
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Telephone | 440-942-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 SUMMERWOOD DR
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-2845
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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 | PRESIDENT
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Name | DR. SAYED HASAN
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Credential | OD
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Telephone | 440-521-1351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 4699
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4699
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License Number State | OH
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