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General NPI Number Information
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NPI Number | 1003111253
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Entity Type | Individual
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Provider Name | PAUL TODD HANSEL LPC
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Gender | Male
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 1052 MERCHANT ST
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City | COATESVILLE
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State | PA
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Zip | 19320-3393
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Country | US
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Telephone | 800-427-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 1052 MERCHANT ST
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City | COATESVILLE
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State | PA
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Zip | 19320-3393
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Country | US
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Telephone | 484-886-5551
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC000668
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License Number State | PA
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