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General NPI Number Information
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NPI Number | 1497893077
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Entity Type | Individual
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Provider Name | REBECCA T HAHN MD
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Gender | Female
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 630 W 168TH ST # 93 PH 3-STEM 137
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 212-305-4712
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Fax | 212-342-3414
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Provider Business Mailing Address
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Address Line | 320 W END AVE APT 5A
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City | NEW YORK
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State | NY
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Zip | 10023-8110
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Country | US
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Telephone | 212-595-6426
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 163707
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License Number State | NY
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