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General NPI Number Information
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NPI Number | 1205180700
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Entity Type | Individual
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Provider Name | HANNAH MAREAN LU PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 2337 SOUTH CLINTON AVE UNIVERSITY OF ROCHESTER SLEEP CENTER
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City | ROCHESTER
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State | NY
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Zip | 14618-2645
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Country | US
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Telephone | 585-341-7575
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Fax | 585-341-7595
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Provider Business Mailing Address
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Address Line | 2337 SOUTH CLINTON AVE UNIVERSITY OF ROCHESTER SLEEP CENTER
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-341-7575
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Fax | 585-341-7595
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 015651
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00287700
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License Number State | NJ
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