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General NPI Number Information
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NPI Number | 1306471180
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Entity Type | Individual
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Provider Name | KATHLEEN HANTEN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 2388 UNIVERSITY AVE W # 202
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City | SAINT PAUL
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State | MN
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Zip | 55114-1769
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Country | US
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Telephone | 715-441-1520
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 COLETTE PL
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City | SAINT PAUL
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State | MN
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Zip | 55116-2556
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Country | US
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Telephone | 715-441-1520
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 502508
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License Number State | MN
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