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General NPI Number Information
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NPI Number | 1568435451
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Entity Type | Individual
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Provider Name | HANNAH E MIEDEL MD
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Gender | Female
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 931 WOOSTER RD
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City | MILLERSBURG
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State | OH
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Zip | 44654-1536
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Country | US
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Telephone | 330-674-8444
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Fax | 330-674-2528
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Provider Business Mailing Address
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Address Line | 85 N GRANT ST SUITE B
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City | MILLERSBURG
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State | OH
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Zip | 44654-1166
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Country | US
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Telephone | 330-674-8444
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Fax | 330-674-2528
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35089525
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License Number State | OH
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