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General NPI Number Information
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NPI Number | 1134913643
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Entity Type | Individual
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Provider Name | SAMANTHA ALEXIS HAMILTON CDCA
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 625 GARFIELD AVE
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City | LANCASTER
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State | OH
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Zip | 43130-2432
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Country | US
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Telephone | 740-201-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 453 RIDGEMERE WAY
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City | LANCASTER
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State | OH
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Zip | 43130-5109
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Country | US
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Telephone | 740-823-3419
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.189801
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License Number State | OH
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