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General NPI Number Information
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NPI Number | 1912468356
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Entity Type | Individual
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Provider Name | HANNAH MICHELLE PLATIPODIS MS
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Gender | Female
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1616 CALIFORNIA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63104-2046
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Country | US
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Telephone | 314-771-2539
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Fax |
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Provider Business Mailing Address
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Address Line | 508 NIGHTINGALE LN
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7610
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Country | US
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Telephone | 314-315-2660
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 12147627
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License Number State | MO
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