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General NPI Number Information
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NPI Number | 1780697698
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Entity Type | Individual
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Provider Name | ALEXANDER HASELKORN M. D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 750 BROADWAY SUITE D
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City | PATERSON
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State | NJ
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Zip | 07514-1353
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Country | US
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Telephone | 973-279-8850
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Fax | 973-279-9716
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Provider Business Mailing Address
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Address Line | 750 BROADWAY SUITE D
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City | PATERSON
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State | NJ
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Zip | 07514-1353
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Country | US
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Telephone | 973-279-8850
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Fax | 973-279-9716
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 25MA02175200
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License Number State | NJ
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