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General NPI Number Information
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NPI Number | 1497527881
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Entity Type | Individual
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Provider Name | JENNIFER HAMPTON-DIXON CADC-R
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Gender | Female
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 120 S ELM ST STE A
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2304
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Country | US
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Telephone | 252-481-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 4213 DUBLIN RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-6809
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Country | US
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Telephone | 252-341-1764
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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 | CADC-21211
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License Number State | NC
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