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General NPI Number Information
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NPI Number | 1912983933
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Entity Type | Individual
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Provider Name | HANS M. HAUPT MD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 826 MAIN ST STE. 303
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3900
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Country | US
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Telephone | 610-983-1561
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Fax | 610-983-1569
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Provider Business Mailing Address
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Address Line | 826 MAIN ST STE. 303
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3900
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Country | US
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Telephone | 610-983-1561
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Fax | 610-983-1569
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD042170E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD042170E
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License Number State | PA
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