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General NPI Number Information
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NPI Number | 1134946106
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Entity Type | Individual
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Provider Name | HANNAH MUTTILLO LCSW-A
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Gender | Female
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 121 HENDERSONVILLE RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-2868
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Country | US
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Telephone | 828-257-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 36 MALCOLM CT
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City | CANDLER
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State | NC
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Zip | 28715-0899
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Country | US
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Telephone | 919-710-6244
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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 |
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License Number State |
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