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General NPI Number Information
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NPI Number | 1316862642
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Entity Type | Individual
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Provider Name | MRS. LISA LYNN HANSON-ROCHE
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Gender | Female
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | PO BOX 116
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City | FALL RIVER
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State | WI
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Zip | 53932-0116
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Country | US
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Telephone | 920-484-3333
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Fax | 920-484-3600
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Provider Business Mailing Address
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Address Line | PO BOX 116
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City | FALL RIVER
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State | WI
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Zip | 53932-0116
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Country | US
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Telephone | 920-484-3333
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Fax | 920-484-3600
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 16786
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License Number State | WI
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