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General NPI Number Information
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NPI Number | 1760524458
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Entity Type | Individual
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Provider Name | TARA ANNE HANNA LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8080 E PAWNEE ST
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City | WICHITA
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State | KS
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Zip | 67207-5475
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Country | US
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Telephone | 316-330-7126
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 S FIELDCREST ST
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City | WICHITA
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State | KS
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Zip | 67209-3203
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Country | US
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Telephone | 316-665-2355
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6539
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License Number State | KS
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