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General NPI Number Information
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NPI Number | 1881058188
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Entity Type | Individual
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Provider Name | RANITA HAHM NP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 1101 LOCKHEED WAY
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City | PALMDALE
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State | CA
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Zip | 93599-4201
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Country | US
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Telephone | 323-376-7113
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Fax |
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Provider Business Mailing Address
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Address Line | 710 CRENSHAW BLVD APT 101
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City | LOS ANGELES
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State | CA
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Zip | 90005-3687
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Country | US
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Telephone | 323-376-7113
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95003546
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95003546
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License Number State | CA
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