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General NPI Number Information
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NPI Number | 1992907919
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Entity Type | Individual
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Provider Name | SHARI A HAIN PA
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HEAD AND NECK SURGICAL GROUP 425 WEST 59TH STREET 10TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-523-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 50 LEIGHTON AVE
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City | YONKERS
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State | NY
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Zip | 10705-3725
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Country | US
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Telephone | 914-423-2418
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 007042
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License Number State | NY
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