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NPI Code Detail

MEDICARE: HANNAH SHIRLEY

MEDICARE: HANNAH SHIRLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerW.2400446OH

General Provider Information

NPI Number : 1801617501
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH SHIRLEY
Provider Business Mailing Address
First Line : 1825 COMMERCE CENTER BLVD
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6336
Country : US
Telephone Number : 937-376-8700
Fax Number : 937-376-8725
Provider Business Practice Location Address
First Line : 1825 COMMERCE CENTER BLVD
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-6336
Country : US
Telephone Number : 937-376-8700
Fax Number : 937-376-8725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2024
Last Update Date : 10/24/2024

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Directions to “ HANNAH SHIRLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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