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General NPI Number Information
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NPI Number | 1053554212
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Entity Type | Organization
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Legal Business Name | F. M. HANNA DDS INC
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 3809 SAN DIMAS ST STE A
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5727
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Country | US
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Telephone | 660-322-7696
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Fax | 661-323-4873
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Provider Business Mailing Address
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Address Line | 3809 SAN DIMAS ST STE A
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5727
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Country | US
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Telephone | 660-322-7696
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Fax | 661-323-4873
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Authorized Official
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Title or Position | CEO
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Name | FARID MOHSEN HANNA
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Credential | DDS
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Telephone | 661-322-7696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31045
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License Number State | CA
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