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NPI 1760307110

NPI 1760307110 : HANNAH ELISE WEEDEN LMSW : CANANDAIGUA, NY

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General NPI Number Information
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    NPI Number           |    1760307110
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH ELISE WEEDEN LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2026
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    Last Update Date     |    08/13/2026
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Provider Practice Location Address
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    Address Line         |    335 PARRISH ST 
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    City                 |    CANANDAIGUA
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    State                |    NY
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    Zip                  |    14424-1794
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    Country              |    US
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    Telephone            |    585-602-0324
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    Fax                  |    585-736-9193
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Provider Business Mailing Address
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    Address Line         |    214 BRISTOL ST 
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    City                 |    CANANDAIGUA
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    State                |    NY
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    Zip                  |    14424-1621
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    Country              |    US
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    Telephone            |    585-298-4286
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    132675
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    License Number State |    NY
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