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General NPI Number Information
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NPI Number | 1972792299
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Entity Type | Organization
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Legal Business Name | HAAS PARKER MANAGEMENT LLC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 21 COLUMBIA ST SUITE 100
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City | ORLANDO
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State | FL
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Zip | 32806-1133
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Country | US
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Telephone | 407-841-1490
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Fax | 407-841-1493
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Provider Business Mailing Address
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Address Line | 21 COLUMBIA ST SUITE 100
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City | ORLANDO
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State | FL
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Zip | 32806-1133
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Country | US
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Telephone | 407-841-1490
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Fax | 407-841-1493
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN D HAAS
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Credential | M.D.
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Telephone | 407-841-1490
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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 |
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License Number State |
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