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General NPI Number Information
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NPI Number | 1215968540
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Entity Type | Individual
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Provider Name | MONEER K. HANNA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 935 NORTHERN BLVD SUITE 303
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City | GREAT NECK
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State | NY
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Zip | 11021-5309
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Country | US
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Telephone | 516-466-6950
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Fax | 516-466-1935
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Provider Business Mailing Address
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Address Line | 89 KINGSWOOD RD
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City | WEEHAWKEN
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State | NJ
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Zip | 07086-6908
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Country | US
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Telephone | 201-974-8824
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 36841
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 129247
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License Number State | NY
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