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General NPI Number Information
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NPI Number | 1831181304
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Entity Type | Individual
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Provider Name | JERRY MITCHELL HAHN MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | RT 50 EAST SUNRISE PROFESSIONAL BUILDING
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City | ROMNEY
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State | WV
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Zip | 26757
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Country | US
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Telephone | 304-822-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 2076 STACKS GAP RD
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City | WARDENSVILLE
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State | WV
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Zip | 26851
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Country | US
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Telephone | 304-822-3838
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Fax | 304-822-7665
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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 | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 15226
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 15226
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License Number State | WV
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