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General NPI Number Information
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NPI Number | 1649096389
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Entity Type | Individual
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Provider Name | HANNAH GODFREY MFT
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3005 W HORIZON RIDGE PKWY STE 201
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City | HENDERSON
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State | NV
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Zip | 89052-5031
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Country | US
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Telephone | 702-721-7177
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Fax |
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Provider Business Mailing Address
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Address Line | 4865 E CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89104-6404
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Country | US
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Telephone | 702-721-7177
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MI4182
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License Number State | NV
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