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General NPI Number Information
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NPI Number | 1922172253
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Entity Type | Organization
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Legal Business Name | HANACHE AND LASOTA MD ASSOC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 11 HORSESHOE LANE
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City | PAOLI
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State | PA
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Zip | 19301-0909
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Country | US
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Telephone | 610-296-5022
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Fax | 610-640-4598
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Provider Business Mailing Address
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Address Line | PO BOX 1003 11 HORSESHOE LANE
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City | PAOLI
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State | PA
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Zip | 19301-0909
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Country | US
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Telephone | 610-296-5022
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Fax | 610-640-4598
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Authorized Official
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Title or Position | ASSOCIATE
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Name | MRS. JEANNE ANN HANACHE
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Credential | MD
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Telephone | 610-296-5022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD008076E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD007091E
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License Number State | PA
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