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General NPI Number Information
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NPI Number | 1720883754
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Entity Type | Individual
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Provider Name | HANNAH GAMBREL
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Gender | Female
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1223 MARKET AVE N
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City | CANTON
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State | OH
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Zip | 44714-2603
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Country | US
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Telephone | 234-999-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 525 CREEK BEND TRL
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City | LODI
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State | OH
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Zip | 44254-9658
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0038710
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License Number State | OH
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