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General NPI Number Information
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NPI Number | 1508379561
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Entity Type | Individual
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Provider Name | MICHELLE D HAMPTON MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 5850 T G LEE BLVD STE 400
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City | ORLANDO
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State | FL
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Zip | 32822-4409
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Country | US
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Telephone | 800-338-3738
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Fax |
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Provider Business Mailing Address
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Address Line | 8405 TITKOS DR APT 203
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City | KISSIMMEE
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State | FL
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Zip | 34747-3308
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Country | US
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Telephone | 414-737-8060
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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 | 3749226
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License Number State | WI
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