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General NPI Number Information
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NPI Number | 1265450498
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Entity Type | Individual
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Provider Name | WILLIAM PAUL HANNAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 750 E ADAMS ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2342
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Country | US
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Telephone | 315-464-5450
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Fax | 315-464-5853
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Provider Business Mailing Address
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Address Line | 750 E ADAMS ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2342
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Country | US
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Telephone | 315-464-5450
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Fax | 315-464-5853
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 159129
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 159129
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License Number State | NY
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