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General NPI Number Information
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NPI Number | 1457224271
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Entity Type | Individual
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Provider Name | SHANA HAMMOND LPC-A
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Gender | Female
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 200 ANNE DR
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City | EASLEY
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State | SC
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Zip | 29640-2061
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Country | US
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Telephone | 864-859-9754
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Fax |
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Provider Business Mailing Address
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Address Line | 309 DELLROSE DR
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City | MAULDIN
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State | SC
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Zip | 29662-2225
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Country | US
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Telephone | 864-243-1784
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | COU.10658PCI
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License Number State | SC
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