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Individual
GRACE HASSID
Active
Individual
GRACE HASSID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G62760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G627600
—
CA
01
—
BI146Z
MEDICARE PTAN
CA
Enumeration date
11/10/2006
Last updated
03/24/2009
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