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General NPI Number Information
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NPI Number | 1720629009
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL HANNAH II M.ED.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 1340 PATTON AVE STE A
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City | ASHEVILLE
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State | NC
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Zip | 28806-2623
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Country | US
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Telephone | 828-225-3100
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Fax | 828-253-4163
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Provider Business Mailing Address
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Address Line | 1316 PATTON AVE
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City | ASHEVILLE
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State | NC
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Zip | 28806-2666
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Country | US
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Telephone | 828-545-8469
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Fax | 828-253-4163
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NC
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