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General NPI Number Information
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NPI Number | 1164714598
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Entity Type | Organization
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Legal Business Name | AMY F. HANSON-AKINS LLC
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 1070 COMMERCE DR BUILDING ONE, SUITE 204
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City | PERRYSBURG
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State | OH
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Zip | 43551-5236
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Country | US
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Telephone | 419-575-0487
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Fax | 419-874-4691
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Provider Business Mailing Address
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Address Line | 25428 SADDLEBROOK BLVD
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City | PERRYSBURG
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State | OH
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Zip | 43551-6705
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Country | US
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Telephone | 419-575-0487
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Fax | 419-536-1304
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Authorized Official
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Title or Position | OWNER
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Name | AMY F HANSON-AKINS
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Credential | MSW, LISW-S, CEDS
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Telephone | 419-575-0487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I-0009429
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License Number State | OH
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