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General NPI Number Information
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NPI Number | 1134272511
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Entity Type | Organization
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Legal Business Name | PAUL HANNA D.M.D., P.C.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 461 OCEAN AVE
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City | NEW LONDON
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State | CT
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Zip | 06320-4502
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Country | US
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Telephone | 860-442-3323
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Fax | 860-447-0039
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Provider Business Mailing Address
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Address Line | 461 OCEAN AVE
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City | NEW LONDON
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State | CT
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Zip | 06320-4502
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Country | US
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Telephone | 860-442-3323
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Fax | 860-447-0039
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Authorized Official
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Title or Position | PRESIDENT- CEO DENTIST
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Name | DR. PAUL H. HANNA
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Credential |
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Telephone | 860-442-3323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8132
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License Number State | CT
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