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General NPI Number Information
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NPI Number | 1710253034
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Entity Type | Organization
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Legal Business Name | SH & HH OPTICAL CORP
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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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 | 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 |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SHARI LYNN HAUSMAN
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Credential | O.D.
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Telephone | 212-795-5640
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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 | T005254
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License Number State | NY
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