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NPI Code Detail

MEDICARE: HANSLEY CHE TAH

MEDICARE:   HANSLEY  CHE TAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerDC

General Provider Information

NPI Number : 1215884994
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANSLEY CHE TAH
Provider Business Mailing Address
First Line : 9409 SPRING HOUSE LN APT E
Second Line :
City : LAUREL
State : MD
Zip : 20708-3297
Country : US
Telephone Number : 215-715-2675
Fax Number :
Provider Business Practice Location Address
First Line : 9409 SPRING HOUSE LN APT E
Second Line :
City : LAUREL
State : MD
Zip : 20708-3297
Country : US
Telephone Number : 215-715-2675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ HANSLEY CHE TAH ” Practice Location

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