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General NPI Number Information
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NPI Number | 1497246508
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Entity Type | Individual
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Provider Name | HANNAH KORMAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 13400 EDGEMEADE RD
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City | UPPER MARLBORO
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State | MD
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Zip | 20772
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Country | US
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Telephone | 240-681-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 715 MASSEY LN UNIT A
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1269
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Country | US
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Telephone | 210-556-4471
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101272495
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License Number State | VA
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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 | D0095723
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License Number State | MD
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