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NPI 1538450929

NPI 1538450929 : JANICE HAMRICK : SITKA, AK

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General NPI Number Information
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    NPI Number           |    1538450929
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    Entity Type          |    Individual 
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    Provider Name        |    JANICE HAMRICK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2011
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    Last Update Date     |    06/13/2012
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Provider Practice Location Address
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    Address Line         |    222 TONGASS DR CHS ROOM 104
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    City                 |    SITKA
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    State                |    AK
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    Zip                  |    99835-9416
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    Country              |    US
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    Telephone            |    907-966-8884
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    Fax                  |    907-966-8898
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Provider Business Mailing Address
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    Address Line         |    222 TONGASS DR 
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    City                 |    SITKA
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    State                |    AK
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    Zip                  |    99835-9416
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    Country              |    US
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    Telephone            |    907-966-8884
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    Fax                  |    907-966-8898
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    C1308
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    License Number State |    AK
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