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General NPI Number Information
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NPI Number | 1003160490
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Entity Type | Individual
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Provider Name | ANNIE RASHEEDAH HASAN LCAS-A
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1340 MCARTHUR RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-1203
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Country | US
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Telephone | 910-624-6513
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Fax | 910-568-5385
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Provider Business Mailing Address
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Address Line | 1340 MCARTHUR RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-1203
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Country | US
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Telephone | 910-624-6513
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Fax | 910-568-5385
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3083-A
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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