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General NPI Number Information
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NPI Number | 1750557773
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Entity Type | Individual
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Provider Name | PAMELA M HANSEN MSW
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Gender | Female
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 6815 W CAPITOL DR STE 304
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City | MILWAUKEE
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State | WI
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Zip | 53216-2056
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Country | US
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Telephone | 414-460-6995
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Fax | 414-355-5467
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Provider Business Mailing Address
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Address Line | 8421 N 102ND CT
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City | MILWAUKEE
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State | WI
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Zip | 53224-2431
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Country | US
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Telephone | 414-460-6995
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Fax | 414-355-5467
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1008-121
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9532-123
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License Number State | WI
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