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General NPI Number Information
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NPI Number | 1245301175
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Entity Type | Organization
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Legal Business Name | JONATHAN E. HASSON, MD, PA
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 921 S LONG DR SUITE 208
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City | ROCKINGHAM
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State | NC
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Zip | 28379-4874
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Country | US
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Telephone | 910-417-3396
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5568
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City | PINEHURST
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State | NC
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Zip | 28374-5568
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Country | US
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Telephone | 910-417-3396
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN E HASSON
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Credential | MD, PA
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Telephone | 910-417-3396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 34621
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License Number State | NC
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