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General NPI Number Information
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NPI Number | 1497969497
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Entity Type | Individual
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Provider Name | ANNETTE HANSON MD
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 550 E MADISON ST
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City | BALTIMORE
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State | MD
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Zip | 21202-4239
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Country | US
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Telephone | 410-878-4186
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Fax | 410-727-5148
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Provider Business Mailing Address
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Address Line | 8808 FOX CIR
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City | PERRY HALL
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State | MD
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Zip | 21128-9006
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Country | US
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Telephone | 410-878-4186
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Fax | 410-727-5148
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D40227
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License Number State | MD
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