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General NPI Number Information
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NPI Number | 1033679451
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Entity Type | Individual
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Provider Name | ADAM MARCUS HANIF
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Gender | Male
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 11086 SE OAK ST
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City | MILWAUKIE
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State | OR
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Zip | 97222-6692
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Country | US
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Telephone | 503-656-4221
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Fax | 503-656-4249
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Provider Business Mailing Address
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Address Line | PO BOX 22009
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City | PORTLAND
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State | OR
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Zip | 97269-2009
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Country | US
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Telephone | 503-558-7372
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Fax | 503-344-5140
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD214797
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License Number State | OR
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