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1720025968 NPI number — SHAHIRA HANNA MD

NPI Number: 1720025968
Health Care Provider/Practitioner: SHAHIRA HANNA MD

Information about “1720025968” NPI (SHAHIRA HANNA MD) exists in 1720025968 in HTML format HTML  |  1720025968 in plain Text format TXT  |  1720025968 in PDF (Portable Document Format) PDF  |  1720025968 in an XML format XML  formats.

NPI Number : 1720025968 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720025968",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HANNA",
    "FirstName": "SHAHIRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KENEALY",
    "OtherFirstName": "SHAHIRA",
    "OtherMiddleName": "H",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4205 BELFORT RD STE 4015",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32216-3623",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-450-6063",
    "MailingAddressFaxNumber": "904-539-4091",
    "FirstLinePracticeLocationAddress": "1657 TRINITY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PENSACOLA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32504-5708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-416-2400",
    "PracticeLocationAddressFaxNumber": "850-416-2330",
    "EnumerationDate": "05/31/2006",
    "LastUpdateDate": "10/03/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "ME167014",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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