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General NPI Number Information
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NPI Number | 1194815746
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Entity Type | Individual
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Provider Name | LAURA DIANE HAMILTON MSW
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 4663 S MARIPOSA DR
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City | ENGLEWOOD
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State | CO
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Zip | 80110-5513
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Country | US
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Telephone | 303-590-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 4663 S MARIPOSA DR
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City | ENGLEWOOD
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State | CO
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Zip | 80110-5513
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1716
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License Number State | CO
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