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General NPI Number Information
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NPI Number | 1821080722
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Entity Type | Individual
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Provider Name | ROBERT F HAVERLY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 311 W 24TH ST STE 401
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City | ERIE
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State | PA
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Zip | 16502-2665
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Country | US
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Telephone | 814-455-7591
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Fax | 814-454-1467
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Provider Business Mailing Address
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Address Line | 311 W 24TH ST STE 401
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City | ERIE
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State | PA
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Zip | 16502-2665
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Country | US
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Telephone | 814-455-7591
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Fax | 814-454-1467
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35075600H
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 19556601
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD066518L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-066518L
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License Number State | PA
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