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General NPI Number Information
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NPI Number | 1750014387
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Entity Type | Organization
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Legal Business Name | GEORGE K. HANNA MD, INC.
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 444 S SAN VICENTE BLVD STE 800
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City | LOS ANGELES
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State | CA
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Zip | 90048-4174
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Country | US
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Telephone | 310-210-4077
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Fax |
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Provider Business Mailing Address
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Address Line | 9753 CEDROS AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1007
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Country | US
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Telephone | 818-281-4366
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. GEORGE HANNA
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Credential | MD
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Telephone | 818-281-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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