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General NPI Number Information
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NPI Number | 1992024871
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Entity Type | Individual
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Provider Name | ANDREW EMAD HANNA D.D.S., M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4499 MEDICAL DR STE 190
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3768
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Country | US
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Telephone | 210-614-3915
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Fax | 210-614-5234
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Provider Business Mailing Address
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Address Line | 4499 MEDICAL DR STE 190
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3768
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Country | US
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Telephone | 210-614-3915
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Fax | 210-614-5234
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | R0011
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License Number State | TX
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