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NPI 1366161200

NPI 1366161200 : HANNAH KAHLE LSW : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1366161200
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH KAHLE LSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2022
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    Last Update Date     |    08/26/2024
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Provider Practice Location Address
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    Address Line         |    2611 WAYNE AVE BLDG 61 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45420-1833
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    Country              |    US
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    Telephone            |    937-228-0579
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    Fax                  |    419-936-7606
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Provider Business Mailing Address
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    Address Line         |    6400 E BROAD ST STE 400 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43213-2979
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    Country              |    US
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    Telephone            |    614-655-3345
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    Fax                  |    419-936-7606
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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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       |    S.2308956
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    License Number State |    OH
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