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General NPI Number Information
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NPI Number | 1083701437
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Entity Type | Individual
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Provider Name | ROBERT L. HANNAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 3100 S.W. 62 AVENUE CARDIOVASCULAR DEPT.
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 305-663-8401
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Fax | 305-669-6574
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Provider Business Mailing Address
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Address Line | PO BOX 557367
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City | MIAMI
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State | FL
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Zip | 33255
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Country | US
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Telephone | 786-624-5845
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Fax | 786-624-5881
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME76954
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License Number State | FL
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