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General NPI Number Information
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NPI Number | 1528822855
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Entity Type | Organization
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Legal Business Name | HANABUSA IVF, MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 4910 DIRECTORS PL STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92121-3801
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Country | US
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Telephone | 858-480-5400
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Fax | 858-630-5552
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Provider Business Mailing Address
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Address Line | 4910 DIRECTORS PL STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92121-3801
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Country | US
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Telephone | 858-480-5400
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Fax | 858-630-5552
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | PETER FUZESI
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Credential |
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Telephone | 858-480-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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