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General NPI Number Information
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NPI Number | 1114338803
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Entity Type | Individual
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Provider Name | SHANNON HAMILTON MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 861 CORPORATE DR STE 101
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City | LEXINGTON
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State | KY
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Zip | 40503-5432
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Country | US
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Telephone | 859-971-2585
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Fax | 859-971-7594
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Provider Business Mailing Address
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Address Line | 861 CORPORATE DR STE 101
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City | LEXINGTON
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State | KY
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Zip | 40503-5432
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Country | US
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Telephone | 859-971-2585
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Fax | 859-971-7594
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 164070
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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