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General NPI Number Information
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NPI Number | 1144964149
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Entity Type | Individual
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Provider Name | HANNAH BRENNAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 3001 GREEN BAY RD
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City | NORTH CHICAGO
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State | IL
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Zip | 60064-3048
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Country | US
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Telephone | 847-688-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 3509 N FREMONT ST APT 3F
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City | CHICAGO
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State | IL
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Zip | 60657-1936
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Country | US
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Telephone | 773-621-9416
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 051303571
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License Number State | IL
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