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General NPI Number Information
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NPI Number | 1073472791
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Entity Type | Individual
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Provider Name | HANNAH MICKLE
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1 ELLINWOOD CT
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City | NEW HARTFORD
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State | NY
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Zip | 13413-1108
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Country | US
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Telephone | 315-507-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 9980 KORBER RD
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City | HOLLAND PATENT
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State | NY
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Zip | 13354-4704
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Country | US
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Telephone | 315-794-5857
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 116990
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License Number State | NY
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