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NPI Code Detail

MEDICARE: HANNAH K TENPAS M.A.

MEDICARE: HANNAH K TENPAS M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1619277480
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH K TENPAS M.A.
Provider Business Mailing Address
First Line : 784 HIGH ST
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-5243
Country : US
Telephone Number : 805-541-6813
Fax Number :
Provider Business Practice Location Address
First Line : 784 HIGH ST
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-5243
Country : US
Telephone Number : 805-541-6813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2010
Last Update Date : 06/26/2012

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