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General NPI Number Information
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NPI Number | 1780362327
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Entity Type | Individual
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Provider Name | DAVID HANNA LPC
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Gender | Male
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 801 E WASHINGTON ST STE 150
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City | MEDINA
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State | OH
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Zip | 44256-3336
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Country | US
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Telephone | 330-722-1069
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Fax |
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Provider Business Mailing Address
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Address Line | 20216 ARLINGTON DR
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City | STRONGSVILLE
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State | OH
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Zip | 44149-5731
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Country | US
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Telephone | 440-865-1160
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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 | C.2305062
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License Number State | OH
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