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NPI 1316726367

NPI 1316726367 : HANNAH SCHNEIDER, LLC : GRAND RAPIDS, MI

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General NPI Number Information
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    NPI Number           |    1316726367
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANNAH SCHNEIDER, LLC 
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Dates
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    Enumeration Date     |    09/27/2023
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    Last Update Date     |    03/20/2024
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Provider Practice Location Address
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    Address Line         |    4867 E BELTLINE AVE NE 
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    City                 |    GRAND RAPIDS
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    State                |    MI
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    Zip                  |    49525-9787
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    Country              |    US
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    Telephone            |    616-965-1010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4867 E BELTLINE AVE NE 
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    City                 |    GRAND RAPIDS
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    State                |    MI
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    Zip                  |    49525-9787
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    Country              |    US
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    Telephone            |    616-965-1010
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |     HANNAH ELEANOR SCHNEIDER 
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    Credential           |    LMSW
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    Telephone            |    616-965-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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