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General NPI Number Information
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NPI Number | 1174443121
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Entity Type | Individual
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Provider Name | AUDREY BELLE HASS
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 130 CARRIEBROOKE DR
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City | STEPHENS CITY
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State | VA
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Zip | 22655-6000
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Country | US
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Telephone | 804-562-9997
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Fax |
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Provider Business Mailing Address
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Address Line | 216 W BURKE ST APT 1
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City | MARTINSBURG
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State | WV
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Zip | 25401-3433
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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