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General NPI Number Information
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NPI Number | 1972178622
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Entity Type | Individual
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Provider Name | ASHLAND MORGAN HANSON MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 37 ANDOVER RD
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City | PORTLAND
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State | ME
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Zip | 04102-1936
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Country | US
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Telephone | 207-661-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 88 GREENFIELD RD
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City | N WATERBORO
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State | ME
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Zip | 04061-4655
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Country | US
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Telephone | 207-239-4577
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-41720
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License Number State | ME
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