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General NPI Number Information
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NPI Number | 1801865373
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Entity Type | Individual
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Provider Name | JASMINE JONGHUI HAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-916-4994
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Fax |
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Provider Business Mailing Address
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Address Line | 7515 TONDRE ST
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2756
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Country | US
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Telephone | 301-908-8358
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2013-01956
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 71162
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 60889516
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13259
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 71162
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License Number State | WI
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