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General NPI Number Information
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NPI Number | 1194366732
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Entity Type | Individual
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Provider Name | HANNAH R MATHEWS CDCA
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Gender | Female
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 605 WASHINGTON ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3919
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Country | US
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Telephone | 740-353-8863
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Fax | 740-354-7854
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Provider Business Mailing Address
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Address Line | 605 WASHINGTON ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3919
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Country | US
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Telephone | 740-353-8863
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Fax | 740-354-7854
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.171708
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.175362
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License Number State | OH
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