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General NPI Number Information
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NPI Number | 1073860334
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Entity Type | Organization
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Legal Business Name | ROBYN J. HANS, PSY.D., PC
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 2565 THOMPSON BRIDGE RD SUITE 206
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City | GAINESVILLE
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State | GA
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Zip | 30501-1723
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Country | US
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Telephone | 770-536-1360
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Fax | 770-536-1316
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Provider Business Mailing Address
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Address Line | 2565 THOMPSON BRIDGE RD SUITE 206
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City | GAINESVILLE
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State | GA
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Zip | 30501-1723
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Country | US
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Telephone | 770-536-1360
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Fax | 770-536-1316
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBYN JOHNSON HANS
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Credential | PSY.D.
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Telephone | 770-536-1360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 002441
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License Number State | GA
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