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General NPI Number Information
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NPI Number | 1154129716
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Entity Type | Individual
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Provider Name | HANNAH GRACE JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 7210 112TH ST OFC B
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City | FOREST HILLS
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State | NY
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Zip | 11375-5467
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Country | US
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Telephone | 862-216-2351
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Fax |
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Provider Business Mailing Address
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Address Line | 7026 QUEENS BLVD APT 5E
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City | WOODSIDE
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State | NY
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Zip | 11377-5190
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Country | US
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Telephone | 980-355-4812
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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 | 109548
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License Number State | NY
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