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General NPI Number Information
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NPI Number | 1215258421
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Entity Type | Organization
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Legal Business Name | DR KATHRYN HAJJ MD PC
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 4535 NORMAL BLVD STE 105
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City | LINCOLN
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State | NE
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Zip | 68506-2891
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Country | US
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Telephone | 402-488-4861
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Fax | 402-488-4864
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Provider Business Mailing Address
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Address Line | 4535 NORMAL BLVD STE 105
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City | LINCOLN
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State | NE
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Zip | 68506-2891
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Country | US
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Telephone | 402-488-4861
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Fax | 402-488-4864
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. KATHRYN HAJJ
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Credential | MD
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Telephone | 402-488-4861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 20252
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License Number State | NE
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