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General NPI Number Information
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NPI Number | 1770576076
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Entity Type | Individual
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Provider Name | MORRIS R HANAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 508 S HABANA AVE SUITE 260
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City | TAMPA
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State | FL
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Zip | 33609-4181
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Country | US
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Telephone | 813-876-9191
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Fax | 813-876-3103
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Provider Business Mailing Address
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Address Line | 508 S HABANA AVE SUITE 260
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City | TAMPA
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State | FL
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Zip | 33609-4181
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Country | US
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Telephone | 813-876-9191
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Fax | 813-876-3103
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 0036666
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License Number State | FL
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