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General NPI Number Information
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NPI Number | 1427040351
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Entity Type | Organization
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Legal Business Name | HAHN MEDICAL PRACTICES, INC
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 325 MAIN STREET
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City | WARDENSVILLE
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State | WV
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Zip | 26851
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Country | US
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Telephone | 304-874-4012
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Fax | 304-874-4017
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Provider Business Mailing Address
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Address Line | PO BOX 209
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City | WARDENSVILLE
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State | WV
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Zip | 26851-0209
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Country | US
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Telephone | 304-874-4012
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Fax | 304-874-4017
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHRISTOPHER L HAHN
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Credential |
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Telephone | 304-822-8134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 15226
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License Number State | WV
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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 | 15226
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License Number State | WV
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