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General NPI Number Information
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NPI Number | 1346560539
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Entity Type | Individual
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Provider Name | TAHSHA HANSARD LPC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 7521 SE 15TH ST
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City | MIDWEST CITY
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State | OK
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Zip | 73110-5425
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Country | US
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Telephone | 405-453-8004
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Fax | 405-561-5857
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Provider Business Mailing Address
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Address Line | PO BOX 740020
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City | ATLANTA
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State | GA
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Zip | 30374-0020
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 101YM0800X
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Taxonomy Name | Mental Health 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10343
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License Number State | OK
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