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General NPI Number Information
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NPI Number | 1780877043
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Entity Type | Individual
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Provider Name | DR. ELIAS HANOSH
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Gender | Male
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1000 ARCHDALE DR APT 1206
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City | FRANKLIN
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State | TN
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Zip | 37064-1773
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Country | US
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Telephone | 505-314-6033
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Fax | 505-224-2704
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Provider Business Mailing Address
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Address Line | 1000 ARCHDALE DR APT 1206
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City | FRANKLIN
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State | TN
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Zip | 37064-1773
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Country | US
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Telephone | 505-314-6033
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Fax | 505-224-2704
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10737
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DD2923
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License Number State | NM
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