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NPI 1063747616

NPI 1063747616 : EMILY BESS HAMILTON : EL SEGUNDO, CA

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General NPI Number Information
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    NPI Number           |    1063747616
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY BESS HAMILTON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/14/2009
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    Last Update Date     |    04/26/2018
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Provider Practice Location Address
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    Address Line         |    302 W GRAND AVE STE 9 
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    City                 |    EL SEGUNDO
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    State                |    CA
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    Zip                  |    90245-5111
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    Country              |    US
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    Telephone            |    206-409-6706
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    733 N KINGS RD APT 322 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90069-5915
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    Country              |    US
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    Telephone            |    206-409-6706
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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