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General NPI Number Information
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NPI Number | 1679727804
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Entity Type | Individual
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Provider Name | CAROL ANN HANNA D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 2900 S COMMERCE PARKWAY
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City | WESTON
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State | FL
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Zip | 33331-1937
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Country | US
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Telephone | 954-217-6331
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Fax | 954-385-6289
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Provider Business Mailing Address
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Address Line | 1420 SW 82ND TER APT 1034
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City | PLANTATION
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State | FL
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Zip | 33324-3243
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Country | US
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Telephone | 904-910-4741
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24358
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License Number State | FL
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