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General NPI Number Information
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NPI Number | 1295805554
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Entity Type | Individual
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Provider Name | GEORGE M HANNA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 175 MARY ST
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City | BOONE
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State | NC
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Zip | 28607-5025
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Country | US
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Telephone | 828-262-9168
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Fax | 828-262-9168
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Provider Business Mailing Address
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Address Line | PO BOX 930
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City | BLOWING ROCK
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State | NC
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Zip | 28605-0930
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Country | US
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Telephone | 336-262-9168
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Fax | 336-262-9168
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME111176
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 06573
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 32113
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License Number State | NC
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