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General NPI Number Information
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NPI Number | 1871439075
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Entity Type | Individual
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Provider Name | ANGELA HANNAH
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 12355 DILLE RD
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City | NEW CARLISLE
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State | OH
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Zip | 45344-9718
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Country | US
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Telephone | 937-845-4470
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Fax |
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Provider Business Mailing Address
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Address Line | 4170 ALLIUM CT
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1664
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Country | US
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Telephone | 937-325-7671
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA-002425
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License Number State | OH
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