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General NPI Number Information
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NPI Number | 1053553883
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Entity Type | Individual
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Provider Name | MICHELLE SZU-MIN HAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 661 E ALTAMONTE DR STE 231
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5102
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Country | US
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Telephone | 407-303-5214
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Fax |
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Provider Business Mailing Address
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Address Line | 661 E ALTAMONTE DR STE 231
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5102
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Country | US
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Telephone | 407-303-5214
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036142654
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 60-267274
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 036142654
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD60888975
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME168680
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License Number State | FL
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