Gillian Alexander Hazboun
Prosthodontist Dentist - General Practice
Psc 819 Box 18
New Island City
, New Island 09645-0001
Gillian Alexander Hazboun
Prosthodontist Dentist - General Practice
Psc 819 Box 18
New Island City
, New Island 09645-0001
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About
Features
Specialties
- General Practice
- Prosthodontist
Languages spoken
- English
Location
First Address
- Gillian Alexander Hazboun
- Psc 819 Box 18
- Fpo, AE
- Zip : 09645-0001
- Phone :
Second Address
- Gillian Alexander Hazboun
- Psc 819 Box 18
- Fpo, AE
- Zip : 09645-0001
- Phone : (314) 727-3733
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Is Gillian Alexander Hazboun a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 057173 | NY |
| N | 213EG0000X | General Practice | 057173 | NY |
| N | 1223G0001X | General Practice | DS039462 | PA |
| N | 213EG0000X | General Practice | DS039462 | PA |
| Y | 1223P0700X | Prosthodontist | 057173 | NY |
| N | 1223P0700X | Prosthodontist | DS039462 | PA |
National Provider Identifier
| NPI | 1063821346 |
|---|---|
| Provider Name | Gillian Alexander Hazboun |
| First Address | Fpo, AE 09645-0001 |
| Second Address | Fpo, AE 09645-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2014 |
| Last Update Date | 12/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.