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General NPI Number Information
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NPI Number | 1598438855
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Entity Type | Individual
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Provider Name | HASAN SALIH HASAN HASAN DDS
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Gender | Male
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 2471 COHASSET RD
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City | CHICO
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State | CA
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Zip | 95926-1315
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Country | US
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Telephone | 530-961-9288
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W 6TH ST UNIT 171
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City | AZUSA
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State | CA
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Zip | 91702-6716
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Country | US
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Telephone | 720-277-1269
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS106602
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License Number State | CA
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