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General NPI Number Information
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NPI Number | 1699811158
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Entity Type | Individual
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Provider Name | IRENE HANSON
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 937 FRANKLIN AVE
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City | LEMOORE
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State | CA
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Zip | 93245-2931
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Country | US
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Telephone | 559-998-4256
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Fax |
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Provider Business Mailing Address
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Address Line | 1458 AVENUE E
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City | KINGSBURG
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State | CA
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Zip | 93631-2684
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Country | US
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Telephone | 559-859-0769
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 16077
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License Number State | CA
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