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General NPI Number Information
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NPI Number | 1083715189
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Entity Type | Individual
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Provider Name | PERSIS MARY HAMILTON R.N., C.N.S., EDD.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 21 VINEYARD VIEW DR
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City | NAPA
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State | CA
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Zip | 94558-9687
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Country | US
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Telephone | 707-944-2233
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Fax | 707-944-9233
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Provider Business Mailing Address
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Address Line | PO BOX 3535
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City | YOUNTVILLE
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State | CA
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Zip | 94599-3535
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Country | US
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Telephone | 707-944-2233
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Fax | 707-944-9233
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 334
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License Number State | CA
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