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NPI Code Detail

MEDICARE: SOO JIN HAN

MEDICARE: SOO JIN HAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1427567734
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOO JIN HAN
Provider Business Mailing Address
First Line : 2500 MERCHANTS ROW BLVD APT 24
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-3657
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 E PARK AVE STE I100
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2600
Country : US
Telephone Number : 850-765-6769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2017
Last Update Date : 10/05/2023

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Directions to “ SOO JIN HAN ” Practice Location

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