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NPI 1114490182

NPI 1114490182 : HANNAH TOMLINSON LPCA : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1114490182
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH TOMLINSON LPCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/02/2019
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    Last Update Date     |    01/02/2019
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Provider Practice Location Address
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    Address Line         |    7745 BALLANTYNE COMMONS PKWY STE 102 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28277-2442
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    Country              |    US
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    Telephone            |    704-626-6500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2032 MILLERTON AVE APT 3311 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28208-5283
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    Country              |    US
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    Telephone            |    918-510-8044
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    A14309
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    License Number State |    NC
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