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General NPI Number Information
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NPI Number | 1316921109
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Entity Type | Individual
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Provider Name | JOHN T HANNA MD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 1590 CRESTVIEW DR STE B
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City | ASHLAND
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State | OH
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Zip | 44805-3560
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Country | US
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Telephone | 419-651-6880
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Fax | 567-241-7503
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Provider Business Mailing Address
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Address Line | 5400 FRANTZ RD SUITE 250
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City | DUBLIN
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State | OH
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Zip | 43016-4144
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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 | DR.0062503
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35055568
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License Number State | OH
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