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General NPI Number Information
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NPI Number | 1497145403
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Entity Type | Individual
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Provider Name | HANNAH P KIRK PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1021 COOLIDGE ST STE 4
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City | GREENEVILLE
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State | TN
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Zip | 37743-5986
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Country | US
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Telephone | 423-237-6900
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Fax | 423-636-2751
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Provider Business Mailing Address
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Address Line | PO BOX 632476
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City | CINCINNATI
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State | OH
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Zip | 45263-2476
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Country | US
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Telephone | 423-237-6900
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Fax | 423-636-2751
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2731
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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