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General NPI Number Information
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NPI Number | 1114897477
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Entity Type | Individual
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Provider Name | KRISTIN NICHOLE HANSON TMFT
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 2346 MORMON TREK BLVD STE 1600
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City | IOWA CITY
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State | IA
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Zip | 52246-4372
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Country | US
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Telephone | 319-519-9031
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Fax |
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Provider Business Mailing Address
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Address Line | 627 EMILY ST
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9220
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Country | US
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Telephone | 319-631-0714
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 133463
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License Number State | IA
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