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NPI Code Detail

MEDICARE: KATHERINE HANSON

MEDICARE: KATHERINE HANSON
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
1104100000XSocial Worker26754CA

General Provider Information

NPI Number : 1699907576
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE HANSON
Provider Business Mailing Address
First Line : 2275 ARLINGTON DR
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94578-1132
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 42875 GATEWOOD ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-4131
Country : US
Telephone Number : 510-427-1424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2009
Last Update Date : 03/12/2012

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Directions to “ KATHERINE HANSON ” Practice Location

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