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General NPI Number Information
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NPI Number | 1114248358
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Entity Type | Individual
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Provider Name | MARIA A HAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 200 MED PLAZA SUITE 365, 420, 120
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City | LOS ANGELES
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State | CA
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Zip | 90095
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Country | US
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Telephone | 310-206-6232
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Fax |
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone | 310-301-8707
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Fax | 310-301-8751
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301107041
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L-244070
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A124753
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License Number State | CA
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