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General NPI Number Information
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NPI Number | 1306573373
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Entity Type | Individual
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Provider Name | SYDNEY HAHN APRN
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 326 S MAIN ST
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City | NEW CASTLE
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State | KY
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Zip | 40050-2573
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Country | US
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Telephone | 502-974-9181
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Fax |
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Provider Business Mailing Address
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Address Line | 340 GRAVES DR
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City | SMITHFIELD
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State | KY
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Zip | 40068-7985
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1153689
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License Number State | KY
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