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General NPI Number Information
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NPI Number | 1538052279
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Entity Type | Individual
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Provider Name | HANNAH CAMBRIA DEANGELIS
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 199 MAIN ST
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City | SACO
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State | ME
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Zip | 04072-1508
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Country | US
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Telephone | 207-571-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 93 PLEASANT AVE
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City | PORTLAND
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State | ME
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Zip | 04103-3234
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Country | US
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Telephone | 207-931-5092
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MC24743
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License Number State | ME
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