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General NPI Number Information
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NPI Number | 1376790139
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Entity Type | Individual
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Provider Name | MICHELLE ANN MCGARRY-HANSEN M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2008
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 3000 POTOMAC AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22305-3084
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Country | US
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Telephone | 703-721-6300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37215
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City | BALTIMORE
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State | MD
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Zip | 21297-3215
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Country | US
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Telephone | 352-514-5307
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 252252
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License Number State | NY
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