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General NPI Number Information
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NPI Number | 1902110646
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Entity Type | Organization
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Legal Business Name | HASERLASER LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 392 LEWIS ST
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City | SOMERSET
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State | NJ
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Zip | 08873-3110
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Country | US
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Telephone | 973-979-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 392 LEWIS ST
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City | SOMERSET
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State | NJ
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Zip | 08873-3110
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Country | US
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Telephone | 973-979-4422
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL B HASER
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Credential | M.D.
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Telephone | 973-979-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number | MA62248
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License Number State | NJ
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