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NPI 1154416048

NPI 1154416048 : RICHARD ARTHUR HAHN M.D. : NEWBURGH, NY

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General NPI Number Information
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    NPI Number           |    1154416048
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD ARTHUR HAHN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/04/2006
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    Last Update Date     |    01/11/2008
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Provider Practice Location Address
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    Address Line         |    347 FULLERTON AVE 
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    City                 |    NEWBURGH
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    State                |    NY
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    Zip                  |    12550-3726
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    Country              |    US
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    Telephone            |    845-988-9300
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    Fax                  |    845-782-8943
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Provider Business Mailing Address
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    Address Line         |    BOX 925 
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    City                 |    HARRIMAN
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    State                |    NY
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    Zip                  |    10926
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    Country              |    US
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    Telephone            |    845-988-9300
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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        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    182890
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    License Number State |    NY
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