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General NPI Number Information
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NPI Number | 1225523152
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Entity Type | Individual
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Provider Name | NICOLE MANNELLA HASSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2018
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 4200 INDUSTRIAL PARK DR
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City | ALTOONA
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State | PA
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Zip | 16602-1737
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Country | US
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Telephone | 814-283-1821
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Fax | 814-283-2216
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Provider Business Mailing Address
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Address Line | 512 CLEARVIEW DR
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-9279
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Country | US
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Telephone | 724-600-9481
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP444577
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | PA
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