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General NPI Number Information
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NPI Number | 1487583837
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Entity Type | Individual
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Provider Name | HANNA HARGROVE
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Gender | Female
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 420 N WASHINGTON AVE STE 1
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City | COOKEVILLE
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State | TN
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Zip | 38501-2678
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Country | US
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Telephone | 818-940-4335
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Fax | 626-270-4094
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Provider Business Mailing Address
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Address Line | 15150 W PARK PL STE 103
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City | GOODYEAR
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State | AZ
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Zip | 85395-2386
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Country | US
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Telephone | 818-940-4335
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Fax | 626-270-4094
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-26-524003
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License Number State | TN
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