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General NPI Number Information
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NPI Number | 1235895996
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Entity Type | Individual
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Provider Name | LINDA HABIB HANNA
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 9975 RUE CHANTEMAR
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City | SAN DIEGO
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State | CA
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Zip | 92131-3205
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Country | US
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Telephone | 858-271-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 4505 LA CUENTA DR
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City | SAN DIEGO
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State | CA
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Zip | 92124-3008
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Country | US
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Telephone | 619-765-9615
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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