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General NPI Number Information
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NPI Number | 1720198807
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Entity Type | Individual
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Provider Name | ROBERT HASSEN OUAOU PHD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/19/2008
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Provider Practice Location Address
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Address Line | 2450 GOODLETTE RD N STE 101 NAPLES NEUROPSYCHOLOGY, P.A.
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City | NAPLES
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State | FL
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Zip | 34103-4595
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Country | US
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Telephone | 239-514-3003
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Fax | 239-514-7009
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Provider Business Mailing Address
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Address Line | 679 110TH AVE N NAPLES NEUROPSYCHOLOGY, P.A.
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City | NAPLES
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State | FL
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Zip | 34108-1817
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Country | US
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Telephone | 239-514-3003
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Fax | 239-514-7009
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY6868
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License Number State | FL
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