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General NPI Number Information
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NPI Number | 1790970044
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Entity Type | Organization
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Legal Business Name | DR. HAUG OPTOMETRY, INC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 893 SANTA FE DR
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City | ENCINITAS
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State | CA
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Zip | 92024-3842
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Country | US
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Telephone | 760-753-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 893 SANTA FE DR
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City | ENCINITAS
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State | CA
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Zip | 92024-3842
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Country | US
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Telephone | 760-753-3500
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL JAMES HAUG
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Credential | O.D.
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Telephone | 760-753-3500
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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 | 10202TPL
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License Number State | CA
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