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General NPI Number Information
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NPI Number | 1750442927
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Entity Type | Organization
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Legal Business Name | DOUGLAS C. HAUSCHILD, PLLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 40 N. MAIN ST.
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City | WEAVERVILLE
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State | NC
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Zip | 28787-9427
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Country | US
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Telephone | 828-658-0564
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Fax | 828-645-7279
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Provider Business Mailing Address
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Address Line | PO BOX 1620
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City | WEAVERVILLE
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State | NC
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Zip | 28787-1620
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Country | US
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Telephone | 828-658-0564
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Fax | 828-645-7279
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS C. HAUSCHILD
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Credential | OD
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Telephone | 828-658-0564
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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 | 1069
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License Number State | NC
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