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General NPI Number Information
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NPI Number | 1972274900
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Entity Type | Individual
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Provider Name | HANNAH LOPEZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 104 LOCK AND DAM RD
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City | RUSSELLVILLE
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State | AR
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Zip | 72802-9725
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Country | US
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Telephone | 479-747-5222
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Fax | 636-324-8551
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Provider Business Mailing Address
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Address Line | 1221 MABLE AVE
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City | FORT SMITH
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State | AR
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Zip | 72908-7701
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Country | US
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Telephone | 479-461-0746
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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 | 13006-M
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | AR
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