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General NPI Number Information
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NPI Number | 1093304313
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Entity Type | Organization
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Legal Business Name | HANNA PAIN RELIEF CLINICS PMC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1723 27TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2807
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Country | US
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Telephone | 310-499-3594
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Fax | 855-678-4600
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Provider Business Mailing Address
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Address Line | PO BOX 6470
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City | ANAHEIM
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State | CA
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Zip | 92816-6470
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Country | US
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Telephone | 310-499-3594
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | DR. KENNY E HANNA JR.
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Credential | MD
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Telephone | 310-499-3594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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