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General NPI Number Information
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NPI Number | 1508199415
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Entity Type | Individual
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Provider Name | JASON HAHN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 851 E 5TH ST SUITE 144
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City | WASHINGTON
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State | MO
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Zip | 63090-3135
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Country | US
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Telephone | 636-239-8097
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Fax | 636-390-7308
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Provider Business Mailing Address
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Address Line | 851 E 5TH ST SUITE 144
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City | WASHINGTON
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State | MO
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Zip | 63090-3135
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Country | US
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Telephone | 636-239-8097
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Fax | 636-390-7308
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125056616
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2014011217
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License Number State | MO
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