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General NPI Number Information
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NPI Number | 1659813681
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Entity Type | Individual
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Provider Name | ANNA HAN HUNG PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 3333 CLARK RD STE 110
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City | SARASOTA
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State | FL
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Zip | 34231-8437
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Country | US
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Telephone | 408-883-9477
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Fax |
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Provider Business Mailing Address
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Address Line | 6538 FLYCATCHER LN
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8268
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Country | US
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Telephone | 408-605-4182
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY30416
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY12024
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License Number State | FL
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