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General NPI Number Information
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NPI Number | 1073507125
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Entity Type | Individual
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Provider Name | ANDREW GALLANT HAHN OD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 1419A MATTHEWS MINT HILL RD
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City | MATTHEWS
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State | NC
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Zip | 28105-2308
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Country | US
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Telephone | 704-847-1030
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Fax | 704-849-8261
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Provider Business Mailing Address
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Address Line | 1419A MATTHEWS MINT HILL RD
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City | MATTHEWS
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State | NC
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Zip | 28105-2308
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Country | US
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Telephone | 704-847-1030
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Fax | 704-849-8261
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 652
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OP1475
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1006
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License Number State | NC
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