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General NPI Number Information
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NPI Number | 1235173113
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Entity Type | Individual
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Provider Name | CARRIE B HANSON CNM
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 5002 W LEMON ST
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City | TAMPA
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State | FL
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Zip | 33609-1104
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Country | US
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Telephone | 813-286-0033
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Fax | 813-286-1806
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Provider Business Mailing Address
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Address Line | 5 TAMPA GENERAL CIR STE 240
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City | TAMPA
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State | FL
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Zip | 33606-3578
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Country | US
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Telephone | 813-258-3309
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Fax | 813-251-4454
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN9468583
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9468583
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License Number State | FL
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