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General NPI Number Information
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NPI Number | 1891893095
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Entity Type | Organization
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Legal Business Name | CRAIG P HARTNAGEL O.D., P.C.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1676 FOOTE AVENUE EXT
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City | JAMESTOWN
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State | NY
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Zip | 14701-9385
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Country | US
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Telephone | 716-488-2700
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Fax | 716-488-2702
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Provider Business Mailing Address
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Address Line | 1676 FOOTE AVENUE EXT
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City | JAMESTOWN
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State | NY
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Zip | 14701-9385
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Country | US
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Telephone | 716-488-2700
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Fax | 716-488-2702
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG P. HARTNAGEL
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Credential | OD
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Telephone | 716-488-2700
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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 | T005930
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License Number State | NY
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