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General NPI Number Information
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NPI Number | 1558734038
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Entity Type | Individual
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Provider Name | PAUL HANNA DO
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Gender | Male
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 8950 SW 74TH CT STE 1408
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City | MIAMI
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State | FL
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Zip | 33156-3173
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Country | US
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Telephone | 338-735-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 SW 74TH CT STE 1408
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City | MIAMI
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State | FL
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Zip | 33156-3173
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Country | US
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Telephone | 833-735-3668
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Fax | 866-897-7014
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OS18240
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License Number State | FL
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