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General NPI Number Information
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NPI Number | 1699877647
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Entity Type | Individual
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Provider Name | NOSSHEY F HANNA MD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 4010 SUNBEAM RD
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6026
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Country | US
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Telephone | 904-268-8460
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Fax | 904-268-9809
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Provider Business Mailing Address
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Address Line | PO BOX 551308
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City | JACKSONVILLE
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State | FL
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Zip | 32255-1308
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Country | US
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Telephone | 904-493-3333
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Fax | 904-493-2222
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0043781
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0043721
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License Number State | FL
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