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General NPI Number Information
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NPI Number | 1952887341
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Entity Type | Individual
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Provider Name | KIMBERLY DAWN HANCHETT SOCIAL WORKER
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 10027 CORVALLIS DR
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City | HOUSTON
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State | TX
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Zip | 77095
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Country | US
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Telephone | 832-453-6385
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Fax |
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Provider Business Mailing Address
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Address Line | 10027 CORVALLIS DR
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City | HOUSTON
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State | TX
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Zip | 77095-3368
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Country | US
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Telephone | 832-453-6385
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 65958
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License Number State | TX
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