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General NPI Number Information
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NPI Number | 1396570313
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Entity Type | Individual
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Provider Name | HANNAH BRAY BIRD M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 3819 CHESTERFIELD AVE
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City | CHARLESTON
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State | WV
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Zip | 25304-2647
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Country | US
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Telephone | 304-925-4771
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Fax |
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Provider Business Mailing Address
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Address Line | 262 OAKWOOD RD
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City | CHARLESTON
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State | WV
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Zip | 25314-2344
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Country | US
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Telephone | 304-550-7105
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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 | 2447
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License Number State | WV
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