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General NPI Number Information
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NPI Number | 1447666086
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Entity Type | Individual
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Provider Name | KEVIN PATRICK HANAWAY DNP, MBA, APRN
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Gender | Male
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 3233 NE 34TH ST APT 1006
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-6946
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Country | US
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Telephone | 954-383-6389
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Fax | 559-238-0489
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Provider Business Mailing Address
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Address Line | 3233 NE 34TH ST APT 1006
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-6946
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Country | US
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Telephone | 954-383-6389
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN3361362
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN3361362
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License Number State | FL
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