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General NPI Number Information
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NPI Number | 1639422736
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Entity Type | Individual
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Provider Name | BENJAMIN JIN HAHN A.P.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 2609 SW 33RD ST UNIT 103, SUITE 3
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City | OCALA
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State | FL
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Zip | 34471-7774
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Country | US
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Telephone | 321-278-9617
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Fax |
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Provider Business Mailing Address
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Address Line | 4237 SW 22ND LN UNIT 137
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City | GAINESVILLE
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State | FL
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Zip | 32607-6733
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Country | US
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Telephone |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3157
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License Number State | FL
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