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General NPI Number Information
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NPI Number | 1922245059
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Entity Type | Organization
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Legal Business Name | HANNA'S HOUSE
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | 5900 S EASTERN AVE SUITE 186
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City | COMMERCE
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State | CA
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Zip | 90040-4017
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Country | US
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Telephone | 323-278-6501
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 S EASTERN AVE SUITE 186
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City | COMMERCE
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State | CA
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Zip | 90040-4017
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Country | US
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Telephone | 323-278-6501
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Fax | 323-278-6515
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CONNIE FRANKS
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Credential |
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Telephone | 323-278-6501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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