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General NPI Number Information
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NPI Number | 1104933027
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Entity Type | Individual
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Provider Name | COLLEEN S HANLEY M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 2091 E HIGH ST
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City | POTTSTOWN
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State | PA
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Zip | 19464-3211
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Country | US
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Telephone | 610-970-5234
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Fax | 610-970-0945
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Provider Business Mailing Address
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Address Line | 509 BRIGHTON RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-1755
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Country | US
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Telephone | 484-961-1129
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015437
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License Number State | PA
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