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General NPI Number Information
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NPI Number | 1285654947
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Entity Type | Individual
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Provider Name | LAWRENCE S HAN DPM
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 20397 ROUTE 19 SUITE 230
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-6133
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Country | US
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Telephone | 724-553-5706
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Fax | 724-553-5357
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Provider Business Mailing Address
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Address Line | 20397 ROUTE 19 SUITE 230
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-6133
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Country | US
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Telephone | 724-553-5706
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Fax | 724-553-5357
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | SC004233L
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License Number State | PA
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