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General NPI Number Information
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NPI Number | 1992818850
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Entity Type | Individual
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Provider Name | KATHRYN J HAHN D.O.M.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 1925 ASPEN DR SUITE 502 B
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City | SANTA FE
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State | NM
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Zip | 87505-5459
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Country | US
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Telephone | 505-412-0157
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Fax | 505-474-0496
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Provider Business Mailing Address
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Address Line | 1030 VALERIE CIR
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City | SANTA FE
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State | NM
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Zip | 87507-5055
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Country | US
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Telephone | 505-412-0157
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Fax | 505-474-0496
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 771
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License Number State | NM
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