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General NPI Number Information
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NPI Number | 1568876084
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Entity Type | Organization
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Legal Business Name | LORI R HASSINGER PA
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 10127 BAY PINES BLVD
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City | SAINT PETERSBURG
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State | FL
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Zip | 33708
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Country | US
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Telephone | 727-686-3393
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Fax |
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Provider Business Mailing Address
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Address Line | 10201 130TH ST
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City | LARGO
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State | FL
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Zip | 33774-5611
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Country | US
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Telephone | 727-686-3393
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LORI HASSINGER
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Credential |
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Telephone | 727-686-3393
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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 | 4167
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License Number State | FL
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