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General NPI Number Information
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NPI Number | 1528825460
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Entity Type | Individual
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Provider Name | MS. HANNAH HARRELL
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Gender | Female
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 27475 FERRY RD STE 105
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City | WARRENVILLE
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State | IL
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Zip | 60555-3808
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Country | US
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Telephone | 630-699-7254
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Fax |
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Provider Business Mailing Address
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Address Line | 315 CIRCLE AVE
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City | LOMBARD
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State | IL
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Zip | 60148-3446
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Country | US
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Telephone | 630-373-8759
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.019827
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License Number State | IL
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