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General NPI Number Information
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NPI Number | 1346068434
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Entity Type | Individual
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Provider Name | HANNAH MARTINSON
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Gender | Female
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Dates
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Enumeration Date | 09/28/2024
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Last Update Date | 09/28/2024
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Provider Practice Location Address
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Address Line | 4881 NW 8TH AVE STE 1
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City | GAINESVILLE
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State | FL
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Zip | 32605-4582
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Country | US
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Telephone | 352-474-8887
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 SW 43RD ST APT 1301
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City | GAINESVILLE
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State | FL
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Zip | 32607-3912
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | IMH26426
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LAC22454
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LAC22454
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | IMH26426
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LAC22454
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH26426
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License Number State | FL
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