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NPI 1194638973

NPI 1194638973 : ANNA NIKOLE HUMMEL TLMHC : GRINNELL, IA

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General NPI Number Information
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    NPI Number           |    1194638973
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA NIKOLE HUMMEL TLMHC
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    Gender               |     
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Dates
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    Enumeration Date     |    09/23/2026
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    Last Update Date     |    09/23/2026
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Provider Practice Location Address
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    Address Line         |    521 INDUSTRIAL AVE 
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    City                 |    GRINNELL
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    State                |    IA
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    Zip                  |    50112-8159
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    Country              |    US
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    Telephone            |    641-323-2729
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 542 
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    City                 |    KILLDUFF
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    State                |    IA
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    Zip                  |    50137-0542
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    Country              |    US
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    Telephone            |    515-975-5656
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    138792
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    License Number State |    IA
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