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General NPI Number Information
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NPI Number | 1437122041
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Entity Type | Individual
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Provider Name | SUZAN M HANA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | E8 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3336
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Country | US
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Telephone | 732-390-9093
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Fax | 732-390-9383
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Provider Business Mailing Address
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Address Line | E8 BRIER HILL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3336
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Country | US
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Telephone | 732-390-9093
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Fax | 732-390-9383
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI01949500
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License Number State | NJ
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