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General NPI Number Information
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NPI Number | 1831381664
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Entity Type | Organization
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Legal Business Name | WILLIAM I. HAN, M.D. INC
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 17150 EUCLID ST SUITE 220
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4092
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Country | US
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Telephone | 714-444-3030
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Fax | 714-444-3034
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Provider Business Mailing Address
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Address Line | 17150 EUCLID AVE. SUITE 220
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4055
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Country | US
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Telephone | 714-444-3030
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Fax | 949-419-2515
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM I HAN
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Credential | M.D.
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Telephone | 714-444-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A38218
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License Number State | CA
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