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General NPI Number Information
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NPI Number | 1003725284
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Entity Type | Individual
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Provider Name | ANNA HAMER
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Gender |
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 6080 E RIVER RD
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City | FRIDLEY
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State | MN
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Zip | 55432-5373
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Country | US
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Telephone | 763-502-5314
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 MOORE LAKE DR W
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City | FRIDLEY
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State | MN
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Zip | 55432-5601
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Country | US
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Telephone | 763-502-5314
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1001811
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License Number State | MN
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