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General NPI Number Information
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NPI Number | 1225162837
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Entity Type | Organization
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Legal Business Name | LOIS M. HANSEN, M.A., L.P.C., L.P.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E SUITE 415
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City | BRYAN
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State | TX
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Zip | 77802-3475
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Country | US
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Telephone | 979-776-0289
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Fax | 979-774-9770
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Provider Business Mailing Address
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Address Line | 3201 UNIVERSITY DR E SUITE 415
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City | BRYAN
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State | TX
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Zip | 77802-3475
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Country | US
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Telephone | 979-776-0289
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Fax | 979-774-9770
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Authorized Official
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Title or Position | OWNER
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Name | LOIS MARY HANSEN
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Credential | L.P.C.
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Telephone | 979-776-0283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | TX
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