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General NPI Number Information
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NPI Number | 1528815677
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Entity Type | Individual
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Provider Name | JERRICA HASMAN HHC,ND,DD
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Gender | Female
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 11/23/2025
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Provider Practice Location Address
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Address Line | 17390 AVALON DR
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City | HILLMAN
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State | MI
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Zip | 49746-8241
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Country | US
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Telephone | 989-590-7884
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Fax |
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Provider Business Mailing Address
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Address Line | 4787 HIGHWAY 501 E.
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City | AYNOR
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State | SC
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Zip | 29511-3445
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Country | US
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Telephone | 843-353-9122
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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