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General NPI Number Information
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NPI Number | 1225199730
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Entity Type | Individual
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Provider Name | JORDANA CELE HANNAM MD
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 1000 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1000
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Country | US
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Telephone | 516-705-3326
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Fax |
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Provider Business Mailing Address
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Address Line | 146 MILLS ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-2963
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD440088
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 284768
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License Number State | NY
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