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General NPI Number Information
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NPI Number | 1174054639
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Entity Type | Individual
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Provider Name | HELEN HANNA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2017
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 1160 UNIVERSITY AVE
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City | RIVERSIDE
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State | CA
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Zip | 92507-4545
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Country | US
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Telephone | 951-827-7669
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Fax | 951-656-4280
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Provider Business Mailing Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 833-574-2273
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A165382
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License Number State | CA
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