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General NPI Number Information
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NPI Number | 1508384496
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Entity Type | Individual
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Provider Name | AUSTIN DESHON HAMILTON MA
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Gender | Male
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1 PINCKNEY BLVD
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City | BEAUFORT
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State | SC
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Zip | 29902-6122
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Country | US
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Telephone | 970-351-1890
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 BLAKERS BLVD
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City | BLUFFTON
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State | SC
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Zip | 29909
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Country | US
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Telephone | 302-450-6952
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810007985
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License Number State | VA
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