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General NPI Number Information
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NPI Number | 1841789088
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Entity Type | Individual
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Provider Name | GINA HAHN DPT
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Gender | Female
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 8840 CYPRESS WATERS BLVD STE 300
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City | COPPELL
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State | TX
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Zip | 75019-4630
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Country | US
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Telephone | 866-752-7934
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Fax |
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Provider Business Mailing Address
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Address Line | 22 WESTRA ST
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City | INTERLAKEN
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State | NJ
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Zip | 07712-4440
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Country | US
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Telephone | 908-596-9177
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 9050
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License Number State | SC
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