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General NPI Number Information
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NPI Number | 1518371616
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Entity Type | Individual
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Provider Name | RAYMON HANNA DPM
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 36503 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1340
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Country | US
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Telephone | 727-772-0800
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Fax | 727-255-5747
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Provider Business Mailing Address
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Address Line | 36503 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1340
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Country | US
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Telephone | 727-772-0800
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Fax | 727-255-5747
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO3900
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3900
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License Number State | FL
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