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Individual
JASON C HAN
Active
Individual
JASON C HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1237249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
439785YTNB
MEDICARE PTAN
TX
Enumeration date
09/02/2015
Last updated
03/02/2016
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