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Individual
CARLY J HANSEN
Active
Individual
CARLY J HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
L-305402
NY
Other
Enumeration date
07/13/2021
Last updated
01/30/2026
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