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General NPI Number Information
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NPI Number | 1407848195
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Entity Type | Individual
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Provider Name | MATTHEW KOBINA HASFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 3939 HOLLYWOOD BLVD STE 3A
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6736
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Country | US
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Telephone | 305-836-1090
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Fax | 305-836-1199
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Provider Business Mailing Address
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Address Line | 3939 HOLLYWOOD BLVD STE 3A
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6736
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Country | US
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Telephone | 305-836-1090
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Fax | 305-836-1199
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 4301513068
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 84819
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME101466
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License Number State | FL
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