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General NPI Number Information
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NPI Number | 1225805187
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Entity Type | Individual
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Provider Name | CHRISTOPHER A HANES PMHNP
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Gender | Male
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 611 W PATRICK ST
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City | FREDERICK
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State | MD
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Zip | 21701-4027
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Country | US
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Telephone | 240-439-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 611 W PATRICK ST
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City | FREDERICK
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State | MD
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Zip | 21701-4027
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Country | US
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Telephone | 240-439-4900
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R207189
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2024025296
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License Number State | MD
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