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General NPI Number Information
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NPI Number | 1770451635
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Entity Type | Individual
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Provider Name | MISS HANNAH MARIE DELONG
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 169 MANSFIELD AVE
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City | SHELBY
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State | OH
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Zip | 44875-1832
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Country | US
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Telephone | 567-292-9211
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Fax |
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Provider Business Mailing Address
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Address Line | 7854 MIDDLETOWN RD 84 1/2 W MAIN ST. APT A, SHELBY, OH 44875
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City | CRESTLINE
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State | OH
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Zip | 44827-9790
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Country | US
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Telephone | 419-689-5991
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.2504667-TRNE
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License Number State | OH
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