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General NPI Number Information
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NPI Number | 1548858319
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Entity Type | Individual
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Provider Name | DESMOND HAMILTON LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 228 MYERS CORNERS RD
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-2142
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Country | US
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Telephone | 845-413-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 156 ROBINSON LN
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-6319
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Country | US
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Telephone | 845-413-6914
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001729
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License Number State | NY
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