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General NPI Number Information
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NPI Number | 1639919251
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Entity Type | Individual
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Provider Name | HANNAH SELLS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 21620 MIDLAND DR
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City | SHAWNEE
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State | KS
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Zip | 66218-9064
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Country | US
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Telephone | 913-268-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 QUAIL HAVEN DR
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City | MOBERLY
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State | MO
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Zip | 65270-3830
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Country | US
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Telephone | 660-998-0713
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 62117
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License Number State | KS
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