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NPI Code Detail

MEDICARE: ABBY HAHN

MEDICARE:   ABBY  HAHN
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
1106S00000XBehavior TechnicianOK

General Provider Information

NPI Number : 1396688552
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY HAHN
Provider Business Mailing Address
First Line : 1000 SWN DR STE 101
Second Line :
City : CONWAY
State : AR
Zip : 72032-2558
Country : US
Telephone Number : 501-328-3274
Fax Number : 501-328-3274
Provider Business Practice Location Address
First Line : 409 DAISY DR UNIT F2
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-7411
Country : US
Telephone Number : 918-525-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ ABBY HAHN ” Practice Location

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