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General NPI Number Information
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NPI Number | 1598354805
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Entity Type | Individual
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Provider Name | RACHELL DANETTE HANSEN APRN
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 236 WENDEL H FORD BLVD
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City | ERLANGER
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State | KY
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Zip | 41018-1272
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Country | US
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Telephone | 800-225-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 BROOKSTONE DR
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City | WALTON
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State | KY
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Zip | 41094-8273
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Country | US
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Telephone | 859-485-7319
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3011908
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License Number State | KY
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