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General NPI Number Information
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NPI Number | 1639271919
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Entity Type | Individual
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Provider Name | SHEREEN HAKKI PHD OD
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ROUTE 22 E & ROUTE 519
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865
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Country | US
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Telephone | 908-859-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 CHIPPEWA RIDGE
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City | AMBLER
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State | PA
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Zip | 19002
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Country | US
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Telephone | 908-859-9050
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Fax | 908-859-6186
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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 | 5409
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License Number State | NJ
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