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General NPI Number Information
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NPI Number | 1205165834
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Entity Type | Individual
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Provider Name | JESSICA MORIA HANSEN-BARNETT DC, FASA
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Gender | Female
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 201 N BROAD ST SUITE 302
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City | MANKATO
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State | MN
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Zip | 56001-3585
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Country | US
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Telephone | 507-382-4997
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Fax | 800-819-8339
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Provider Business Mailing Address
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Address Line | 201 N BROAD ST SUITE 302
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City | MANKATO
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State | MN
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Zip | 56001-3585
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Country | US
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Telephone | 507-382-4997
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Fax | 800-819-8339
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | PENDING
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5305
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 874
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License Number State | MN
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