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General NPI Number Information
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NPI Number | 1508712472
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Entity Type | Individual
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Provider Name | HANNAH CHAN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 3100 N CENTRAL AVE
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City | PHOENIX
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State | AZ
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Zip | 85012-2637
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Country | US
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Telephone | 602-812-4312
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Fax |
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Provider Business Mailing Address
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Address Line | 105 PINNACLE TRL
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City | IRVINE
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State | CA
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Zip | 92618-4815
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 67925
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License Number State | CA
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