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General NPI Number Information
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NPI Number | 1023977394
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Entity Type | Individual
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Provider Name | SYDNEY JO HANSON PSYS
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 601 RANDOLPH AVE
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City | FERGUS FALLS
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State | MN
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Zip | 56537-1669
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Country | US
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Telephone | 218-998-0544
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Fax | 218-414-2682
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Provider Business Mailing Address
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Address Line | 1020 MAIN ST
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City | BRECKENRIDGE
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State | MN
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Zip | 56520-1034
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Country | US
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Telephone | 218-998-0544
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Fax | 218-414-2682
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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 | 2198816
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License Number State | MN
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