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General NPI Number Information
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NPI Number | 1518919349
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Entity Type | Individual
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Provider Name | PATRICIA M HANNAN C.R.N.A.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 110 PEPPER HILL WAY
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City | AIKEN
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State | SC
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Zip | 29801-2818
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Country | US
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Telephone | 803-642-6060
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Fax | 706-228-3433
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Provider Business Mailing Address
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Address Line | 1 10TH ST SUITE 400
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City | AUGUSTA
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State | GA
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Zip | 30901-0100
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Country | US
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Telephone | 800-919-1190
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Fax | 706-737-2271
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2288
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License Number State | SC
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