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General NPI Number Information
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NPI Number | 1164199345
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Entity Type | Individual
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Provider Name | CELINE MARIE HANA
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Gender | Female
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 315 E EISENHOWER PKWY STE 8
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City | ANN ARBOR
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State | MI
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Zip | 48108-3329
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Country | US
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Telephone | 734-794-3786
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Fax |
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Provider Business Mailing Address
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Address Line | 40580 PAISLEY CIR
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City | NOVI
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State | MI
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Zip | 48377-1626
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Country | US
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Telephone | 248-339-6853
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704346360
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License Number State | MI
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