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General NPI Number Information
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NPI Number | 1851770093
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Entity Type | Individual
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Provider Name | JANE HAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 1530 FRONT ST
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City | EAST MEADOW
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State | NY
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Zip | 11554-2265
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Country | US
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Telephone | 516-324-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 LOMBARD ST 1ST FL
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1414
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Country | US
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Telephone | 215-893-2600
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Fax | 215-893-2610
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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 | MD467415
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 304640
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License Number State | NY
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