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General NPI Number Information
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NPI Number | 1487154126
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Entity Type | Individual
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Provider Name | HANNAH KAY TOTTEN OD
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Gender | Female
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 442 W WESTERN AVE
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City | MUSKEGON
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State | MI
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Zip | 49440-1110
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Country | US
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Telephone | 231-722-3556
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Fax |
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Provider Business Mailing Address
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Address Line | 5549 SCENIC DR
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City | WHITEHALL
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State | MI
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Zip | 49461-9464
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Country | US
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Telephone | 231-286-1038
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901005103
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License Number State | MI
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