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General NPI Number Information
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NPI Number | 1326989435
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Entity Type | Individual
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Provider Name | JESSICA LEE HYATT LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 71 ROBINSON ST
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City | BINGHAMTON
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State | NY
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Zip | 13901
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Country | US
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Telephone | 607-723-3200
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Fax | 607-773-8370
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Provider Business Mailing Address
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Address Line | 71 ROBINSON ST.
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City | BINGHAMTON
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State | NY
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Zip | 13901
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Country | US
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Telephone | 607-723-3200
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Fax | 607-773-8370
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 127094
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License Number State | NY
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