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General NPI Number Information
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NPI Number | 1801526041
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Entity Type | Organization
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Legal Business Name | HANAN HEALTH LLC
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Dates
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Enumeration Date | 06/11/2022
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 2042 WOODDALE DR STE 250-5000
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City | WOODBURY
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State | MN
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Zip | 55125-2981
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Country | US
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Telephone | 612-662-8999
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Fax | 612-416-8856
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Provider Business Mailing Address
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Address Line | 2042 WOODDALE DR STE 250-5000
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City | WOODBURY
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State | MN
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Zip | 55125-2981
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Country | US
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Telephone | 651-381-8720
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Fax | 612-416-8856
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ASISAT OMOTAYO ASHAGBE
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Credential | APRN
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Telephone | 240-593-5653
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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 |
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License Number State |
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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 |
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License Number State |
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