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General NPI Number Information
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NPI Number | 1134963481
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Entity Type | Individual
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Provider Name | TRISHA HANNA
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Gender | Female
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 804 INDUSTRIAL PARK RD
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City | MAXWELTON
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State | WV
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Zip | 24957-8066
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Country | US
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Telephone | 304-497-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 131 WELLNESS DR
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-5402
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Country | US
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Telephone | 304-872-6503
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Fax | 304-872-5415
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2013-3143
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW112517707
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License Number State | WV
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