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General NPI Number Information
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NPI Number | 1992120026
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Entity Type | Individual
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Provider Name | GEMMY HANNSUN MD
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Gender | Male
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 1100 N TUSTIN AVE STE A
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City | SANTA ANA
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State | CA
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Zip | 92705-3509
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Country | US
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Telephone | 714-643-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 N GRAND AVE UNIT 10773
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City | SANTA ANA
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State | CA
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Zip | 92711-2239
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A153743
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License Number State | CA
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