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General NPI Number Information
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NPI Number | 1316282650
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Entity Type | Individual
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Provider Name | SARA SASHA HANNING LAC, LMT
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Gender | Female
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 3330 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60657-8541
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Country | US
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Telephone | 773-697-8013
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Fax |
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Provider Business Mailing Address
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Address Line | 3641 N WOLCOTT AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60613-6813
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Country | US
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Telephone | 858-337-3639
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.001109
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License Number State | IL
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