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General NPI Number Information
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NPI Number | 1669090197
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Entity Type | Organization
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Legal Business Name | HAN MEDICAL SERVICES
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 15642 SAND CANYON AVE UNIT 54123
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City | IRVINE
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State | CA
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Zip | 92619-5440
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Country | US
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Telephone | 949-484-8505
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Fax |
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Provider Business Mailing Address
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Address Line | 15642 SAND CANYON AVE UNIT 54123
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City | IRVINE
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State | CA
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Zip | 92619-5440
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Country | US
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Telephone | 949-484-8505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL SANG-YOON HAN
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Credential | MD
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Telephone | 949-484-8505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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