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General NPI Number Information
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NPI Number | 1902996341
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Entity Type | Individual
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Provider Name | GHADA MAGDY HANNA MD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1050 W UNIVERSITY DR STE 3
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City | ROCHESTER
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State | MI
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Zip | 48307-1877
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Country | US
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Telephone | 248-650-1984
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Fax | 248-650-1994
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Provider Business Mailing Address
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Address Line | 11800 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-3472
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Country | US
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Telephone |
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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 | 4301087002
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License Number State | MI
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