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General NPI Number Information
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NPI Number | 1972723658
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Entity Type | Individual
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Provider Name | HANNAH HUANG PAC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 259 1ST ST
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City | MINEOLA
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State | NY
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Zip | 11501-3957
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Country | US
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Telephone | 212-263-8312
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Fax |
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Provider Business Mailing Address
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Address Line | 178 LINCOLN AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-5901
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Country | US
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Telephone | 516-766-2878
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 010212
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License Number State | NY
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