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General NPI Number Information
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NPI Number | 1558541524
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Entity Type | Organization
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Legal Business Name | WILLIAM D HANNA MD PC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 25990 KELLY RD STE 4
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City | ROSEVILLE
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State | MI
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Zip | 48066-4483
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Country | US
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Telephone | 586-774-3780
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Fax | 586-774-0098
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Provider Business Mailing Address
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Address Line | 25990 KELLY RD STE 4
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City | ROSEVILLE
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State | MI
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Zip | 48066-4483
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Country | US
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Telephone | 586-774-3780
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Fax | 586-774-0098
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM DOMINIC HANNA
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Credential | MD
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Telephone | 586-774-3780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | WH045614
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License Number State | MI
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