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General NPI Number Information
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NPI Number | 1134642630
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Entity Type | Individual
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Provider Name | MARGARET LEE HANSEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 10 RICHLAND MEDICAL PARK DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6864
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Country | US
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Telephone | 803-434-6482
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Fax |
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Provider Business Mailing Address
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Address Line | 228 AUTUMN CIR APT 228
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City | COLUMBIA
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State | SC
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Zip | 29206-4981
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Country | US
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Telephone | 913-626-9031
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37219
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License Number State | SC
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