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General NPI Number Information
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NPI Number | 1942546221
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Entity Type | Individual
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Provider Name | OHLA HASSAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 116 NORTHPORT AVE STE 112
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City | BELFAST
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State | ME
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Zip | 04915-6096
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Country | US
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Telephone | 207-505-4163
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Fax | 207-613-2570
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Provider Business Mailing Address
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Address Line | 116 NORTHPORT AVE STE 112
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City | BELFAST
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State | ME
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Zip | 04915-6096
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Country | US
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Telephone | 207-505-4163
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Fax | 207-613-2570
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA08084
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2933
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License Number State | ME
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