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NPI 1154648178

NPI 1154648178 : KATE ELIZABETH HANSEN M.S CCC-SLP : SOUTH BERWICK, ME

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General NPI Number Information
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    NPI Number           |    1154648178
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    Entity Type          |    Individual 
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    Provider Name        |    KATE ELIZABETH HANSEN M.S CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/29/2010
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    90 EMERYS BRIDGE RD 
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    City                 |    SOUTH BERWICK
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    State                |    ME
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    Zip                  |    03908-1903
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    Country              |    US
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    Telephone            |    207-752-0914
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    90 EMERYS BRIDGE RD 
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    City                 |    SOUTH BERWICK
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    State                |    ME
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    Zip                  |    03908-1903
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    Country              |    US
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    Telephone            |    207-752-0914
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    0877
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    License Number State |    NH
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SP1192
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    License Number State |    ME
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