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General NPI Number Information
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NPI Number | 1326887506
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Entity Type | Individual
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Provider Name | HANNAH DIANE WYCOFF M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 507 E UNIVERSITY AVE
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City | GEORGETOWN
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State | TX
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Zip | 78626-6826
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Country | US
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Telephone | 512-943-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 PECAN ISLAND DR
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City | LEANDER
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State | TX
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Zip | 78641-4331
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Country | US
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Telephone | 252-207-9256
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 122280
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License Number State | TX
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