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General NPI Number Information
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NPI Number | 1174743603
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Entity Type | Individual
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Provider Name | DR. JOHN S HAN
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 11832 ROSECRANS AVE 2ND FLOOR
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City | NORWALK
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State | CA
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Zip | 90650-4107
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Country | US
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Telephone | 213-216-3272
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Fax |
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Provider Business Mailing Address
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Address Line | 8706 HILLCREST CIR
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City | BUENA PARK
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State | CA
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Zip | 90621-1079
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Country | US
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Telephone |
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | C62909B
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License Number State | CA
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