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General NPI Number Information
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NPI Number | 1376273425
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Entity Type | Individual
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Provider Name | SANDRA HANNA DDS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 337 APPLEGARTH RD STE 8A
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City | MONROE
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State | NJ
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Zip | 08831-3721
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Country | US
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Telephone | 609-662-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 274 PALOMBI CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5024
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02895200
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License Number State | NJ
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