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General NPI Number Information
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NPI Number | 1336735828
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Entity Type | Individual
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Provider Name | BROOKLYN HAMILTON RBT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 2344 WASHINGTON AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-2320
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Country | US
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Telephone | 812-901-1173
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Fax | 812-401-3601
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Provider Business Mailing Address
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Address Line | 1824 TOUBY PIKE STE B
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City | KOKOMO
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State | IN
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Zip | 46901-2573
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Country | US
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Telephone | 765-628-7400
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Fax | 855-940-0177
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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