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General NPI Number Information
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NPI Number | 1396680054
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Entity Type | Individual
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Provider Name | TERRI L HANNA
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Gender | Female
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 1314 S 1ST ST STE 276
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City | MILWAUKEE
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State | WI
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Zip | 53204-2405
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Country | US
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Telephone | 715-529-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 3108 RUDOLPH RD
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6650
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Country | US
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Telephone | 715-529-9103
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 06730
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License Number State | WI
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