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General NPI Number Information
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NPI Number | 1124215173
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Entity Type | Individual
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Provider Name | ELIAS B HANNA MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 401 E CHESTNUT ST UNIT 310
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City | LOUISVILLE
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State | KY
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Zip | 40202-5703
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Country | US
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Telephone | 502-588-4600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone | 502-588-4600
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD.201087
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD.201087
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | TP573
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License Number State | KY
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