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NPI Code Detail

MEDICARE: MR. PETER FORREST HANSINGER MSW

MEDICARE: MR. PETER FORREST HANSINGER MSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1700864469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER FORREST HANSINGER MSW
Provider Business Mailing Address
First Line : 1456 DUKE ST
Second Line : ALEXANDRIA
City : ALEXANDRIA
State : VA
Zip : 22314-3403
Country : US
Telephone Number : 941-378-8395
Fax Number :
Provider Business Practice Location Address
First Line : 1456 DUKE ST
Second Line : ALEXANDRIA
City : ALEXANDRIA
State : VA
Zip : 22314-3403
Country : US
Telephone Number : 941-378-8395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 07/08/2007

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