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General NPI Number Information
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NPI Number | 1134191802
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Entity Type | Individual
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Provider Name | TINA M HAHN MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 393 LONG RAPIDS RD
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City | ALPENA
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State | MI
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Zip | 49707-1317
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Country | US
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Telephone | 989-356-0504
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Fax | 989-356-6981
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Provider Business Mailing Address
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Address Line | 1501 W CHISHOLM ST
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City | ALPENA
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State | MI
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Zip | 49707-1401
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Country | US
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Telephone | 989-356-0504
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Fax | 989-356-6981
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01054444A
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License Number State | IN
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