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General NPI Number Information
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NPI Number | 1932260254
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Entity Type | Individual
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Provider Name | TERRI MARIE HANNAH NP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 874 W MARTIN LUTHER KING JR BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90037-1205
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Country | US
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Telephone | 323-328-0800
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Fax | 323-238-0875
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Provider Business Mailing Address
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Address Line | 1536 PLYMOUTH LN
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City | SAN PEDRO
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State | CA
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Zip | 90732-4055
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Country | US
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Telephone | 310-418-9544
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Fax | 323-750-0330
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP8949
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License Number State | CA
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