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General NPI Number Information
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NPI Number | 1013613595
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Entity Type | Individual
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Provider Name | STEVEN THOMAS HAMMOND
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Gender | Male
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 1099 INDIAN MOUND DR STE A
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City | MOUNT STERLING
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State | KY
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Zip | 40353-1652
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Country | US
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Telephone | 606-386-0079
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Fax | 859-428-8927
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Provider Business Mailing Address
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Address Line | 119 CLAY ST
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City | MOUNT STERLING
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State | KY
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Zip | 40353-1103
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Country | US
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Telephone | 859-404-0253
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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 | 282428
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License Number State | KY
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