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General NPI Number Information
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NPI Number | 1720335326
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Entity Type | Organization
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Legal Business Name | JENNIFER A. HANLEY, DNP, PA
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 5 REGIONAL CIR SUITE C
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City | PINEHURST
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State | NC
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Zip | 28374-9796
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Country | US
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Telephone | 910-255-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5 REGIONAL CIR SUITE C
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City | PINEHURST
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State | NC
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Zip | 28374-9796
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Country | US
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Telephone | 910-255-1000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER A HANLEY
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Credential | DNP
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Telephone | 910-255-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201498
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201498
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License Number State | NC
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