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General NPI Number Information
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NPI Number | 1982555280
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Entity Type | Individual
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Provider Name | FANFAN HAN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 13620 MAPLE AVE # C705
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City | FLUSHING
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State | NY
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Zip | 11355-5166
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Country | US
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Telephone | 917-679-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 190 E 206TH ST APT 4E
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City | BRONX
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State | NY
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Zip | 10458-1115
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | F355920-01
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License Number State | NY
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