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NPI 1457737454

NPI 1457737454 : ERIC S HAN DDS : CORINTH, TX

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General NPI Number Information
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    NPI Number           |    1457737454
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC S HAN DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/03/2015
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    Last Update Date     |    02/16/2025
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Provider Practice Location Address
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    Address Line         |    3408 VERONA DR 
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    City                 |    CORINTH
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    State                |    TX
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    Zip                  |    76210-2863
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    Country              |    US
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    Telephone            |    214-831-9105
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    Fax                  |    214-614-7484
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Provider Business Mailing Address
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    Address Line         |    3408 VERONA DR 
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    City                 |    CORINTH
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    State                |    TX
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    Zip                  |    76210-2863
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    Country              |    US
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    Telephone            |    
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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        |    1223D0004X
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    Taxonomy Name        |    Dental Anesthesiology
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    License Number       |    11925
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    1223D0004X
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    Taxonomy Name        |    Dental Anesthesiology
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    License Number       |    DN1856970
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    38164
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    1223D0004X
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    Taxonomy Name        |    Dental Anesthesiology
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    License Number       |    38164
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    License Number State |    TX
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