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General NPI Number Information
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NPI Number | 1942564737
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Entity Type | Organization
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Legal Business Name | KELLY A. HAUSER, RN
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 43 MAPLEWOOD AVE
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City | WEST SENECA
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State | NY
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Zip | 14224-1515
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Country | US
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Telephone | 585-813-3597
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Fax |
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Provider Business Mailing Address
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Address Line | 43 MAPLEWOOD AVE
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City | WEST SENECA
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State | NY
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Zip | 14224-1515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MS. KELLY ANN HAUSER
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Credential |
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Telephone | 585-813-3597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 637635
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License Number State | NY
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