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General NPI Number Information
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NPI Number | 1285989095
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Entity Type | Individual
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Provider Name | LISA JEAN HANSON R.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 2200 SW GAGE BLVD
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City | TOPEKA
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State | KS
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Zip | 66622-0001
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Country | US
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Telephone | 913-682-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 NW 81ST ST
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City | KANSAS CITY
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State | MO
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Zip | 64151-5110
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Country | US
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Telephone | 779-537-9855
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1576
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License Number State | KS
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