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General NPI Number Information
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NPI Number | 1790077055
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Entity Type | Individual
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Provider Name | NATALIE SARA HANSEN MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 4444 PLUMOSA DR
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City | YORBA LINDA
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State | CA
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Zip | 92886-2322
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Country | US
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Telephone | 714-986-7210
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Fax |
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Provider Business Mailing Address
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Address Line | 18171 MANDARIN LN APT A
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City | YORBA LINDA
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State | CA
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Zip | 92886-3445
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Country | US
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Telephone | 714-715-3680
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 21247
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License Number State | CA
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