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General NPI Number Information
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NPI Number | 1619977758
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Entity Type | Individual
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Provider Name | STANLEY HAHN MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2601 KENTUCKY AVE SUITE 102
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City | PADUCAH
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State | KY
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Zip | 42003-3817
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Country | US
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Telephone | 270-575-8462
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Fax | 270-443-0235
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Provider Business Mailing Address
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Address Line | 2605 KENTUCKY AVE SUITE 306
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City | PADUCAH
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State | KY
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Zip | 42003-3800
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Country | US
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Telephone | 270-415-7653
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Fax | 270-575-8359
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | K2480
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A50820
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 53314
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 28755
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2023020091
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License Number State | MO
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