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General NPI Number Information
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NPI Number | 1376681270
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Entity Type | Individual
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Provider Name | LUANN HASSAN MD
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 4461 COIT RD STE 205
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City | FRISCO
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State | TX
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Zip | 75035-0524
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Country | US
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Telephone | 972-817-1249
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Fax | 972-817-1289
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Provider Business Mailing Address
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Address Line | 212 TAMPICO ST
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City | IRVING
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State | TX
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Zip | 75062
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Country | US
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Telephone | 972-989-2385
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | J4195
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License Number State | TX
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