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General NPI Number Information
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NPI Number | 1881713923
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Entity Type | Organization
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Legal Business Name | BARBARA J HANNAH
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 84 CHESTNUT PARK DR
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City | WAYNESVILLE
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State | NC
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Zip | 28786-4180
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Country | US
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Telephone | 828-456-5858
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Fax | 828-456-9857
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Provider Business Mailing Address
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Address Line | 84 CHESTNUT PARK DR
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City | WAYNESVILLE
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State | NC
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Zip | 28786-4180
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Country | US
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Telephone | 828-456-5858
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Fax | 828-456-9857
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | BARBARA J HANNAH
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Credential |
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Telephone | 828-456-3337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | HAL044022
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License Number State | NC
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