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General NPI Number Information
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NPI Number | 1760654016
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Entity Type | Organization
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Legal Business Name | DR. MUNEER HANNA AND ASSOCIATES PA
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 1680 SOUTHSIDE BLVD STE 100
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1924
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Country | US
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Telephone | 904-722-2020
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Fax | 904-720-2032
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Provider Business Mailing Address
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Address Line | 1680 SOUTHSIDE BLVD STE #100
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1924
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Country | US
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Telephone | 904-722-2020
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Fax | 904-720-2032
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MUNEER N HANNA
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Credential | O.D.
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Telephone | 904-722-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | OPC 2712
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License Number State | FL
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