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General NPI Number Information
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NPI Number | 1437024932
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Entity Type | Organization
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Legal Business Name | HASAN & ALAZZEH MEDICAL, P.C.
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 242 E. AIRPORT DR. STE 100
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3408
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Country | US
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Telephone | 626-628-5227
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Fax |
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Provider Business Mailing Address
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Address Line | 967 KENDALL DR STE A-510
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-4306
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Country | US
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Telephone | 626-628-5227
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MUFADDA HASAN
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Credential | M.D.
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Telephone | 626-628-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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