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General NPI Number Information
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NPI Number | 1164676268
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Entity Type | Individual
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Provider Name | MS. CAROL ANA HANSON
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Gender | Female
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 5500 ARMSTRONG RD
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City | BATTLE CREEK
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State | MI
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Zip | 49037-7314
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Country | US
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Telephone | 269-966-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 CAMBRIDGE DR
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City | KALAMAZOO
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State | MI
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Zip | 49001-4404
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Country | US
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Telephone | 269-226-2813
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801082552
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License Number State | MI
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