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General NPI Number Information
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NPI Number | 1659859254
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Entity Type | Individual
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Provider Name | NOELLE LOUISE HANNON MS-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 1903 CORDOVA AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1809
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Country | US
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Telephone | 330-744-7517
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 HUMMINGBIRD HILL DR
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City | POLAND
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State | OH
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Zip | 44514-5802
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Country | US
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Telephone | 724-971-5799
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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 | SP.13142
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License Number State | OH
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