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General NPI Number Information
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NPI Number | 1104523877
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Entity Type | Individual
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Provider Name | LAUREN RUTH HAMANN BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 2395 S HURON PKWY
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City | ANN ARBOR
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State | MI
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Zip | 48104-5170
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Country | US
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Telephone | 313-870-7204
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Fax |
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Provider Business Mailing Address
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Address Line | 40992 IVYWOOD LN
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City | PLYMOUTH
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State | MI
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Zip | 48170-2784
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Country | US
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Telephone | 734-788-8135
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7401002018
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License Number State | MI
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