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General NPI Number Information
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NPI Number | 1487941035
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Entity Type | Individual
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Provider Name | JUSTIN J HAHN PT
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Gender | Male
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 15946 N BULLARD AVE
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City | SURPRISE
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State | AZ
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Zip | 85374-8844
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Country | US
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Telephone | 623-266-8035
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Fax | 623-266-8080
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Provider Business Mailing Address
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Address Line | 15946 N BULLARD AVE
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City | SURPRISE
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State | AZ
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Zip | 85374-8844
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Country | US
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Telephone | 623-266-8035
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Fax | 623-266-8080
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6866
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License Number State | SC
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