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General NPI Number Information
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NPI Number | 1013400407
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Entity Type | Individual
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Provider Name | SYED SAFDER ABBAS HASAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 800 S MAIN ST
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City | JONESBORO
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State | AR
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Zip | 72401-3548
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Country | US
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Telephone | 870-932-7024
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Fax |
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Provider Business Mailing Address
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Address Line | 1364 CLIFTON ROAD, NE OFFICE OF SURGICAL EDUCATION, SUITE H100
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City | ATLANTA
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State | GA
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Zip | 30322
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Country | US
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Telephone | 404-727-0093
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Fax | 404-712-0561
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | E-19376
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License Number State | AR
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