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General NPI Number Information
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NPI Number | 1699014704
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Entity Type | Individual
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Provider Name | ANDREW B HANNAH MAE, LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 71 SPIT BROOK RD SUITE 102
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City | NASHUA
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State | NH
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Zip | 03060-5636
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Country | US
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Telephone | 603-379-6282
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Fax |
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Provider Business Mailing Address
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Address Line | 71 SPIT BROOK RD SUITE 102
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City | NASHUA
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State | NH
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Zip | 03060-5636
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Country | US
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Telephone | 603-379-6282
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 724
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 724
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number | 724
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License Number State | NH
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