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General NPI Number Information
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NPI Number | 1700472271
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Entity Type | Individual
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Provider Name | SARA ANN HASSAN ED.S, LBA
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Gender | Female
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 01/02/2022
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Provider Practice Location Address
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Address Line | 911 S HAZELWOOD ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-2877
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Country | US
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Telephone | 316-210-8590
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Fax |
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Provider Business Mailing Address
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Address Line | 21673 W 126TH TER
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City | OLATHE
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State | KS
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Zip | 66061-6687
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Country | US
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Telephone | 316-210-8590
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4459246325
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 382
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License Number State | KS
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