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General NPI Number Information
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NPI Number | 1639029002
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Entity Type | Individual
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Provider Name | HANNAH CAROL WEDIN CCC, SLP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1455 SCHOOL ST
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City | KEWASKUM
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State | WI
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Zip | 53040-8924
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Country | US
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Telephone | 262-626-8147
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Fax |
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Provider Business Mailing Address
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Address Line | N72W12801 GOOD HOPE RD
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City | MENOMONEE FLS
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State | WI
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Zip | 53051-4427
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Country | US
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Telephone | 262-626-8147
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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 | 14455998
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License Number State | WI
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