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General NPI Number Information
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NPI Number | 1558370718
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Entity Type | Organization
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Legal Business Name | ELLEN C. HAMILTON
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 720 E MAIN ST STE C-7
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City | ALLEN
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State | TX
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Zip | 75002-3105
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Country | US
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Telephone | 469-867-3274
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Fax | 972-731-0756
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Provider Business Mailing Address
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Address Line | 12207 RIDGETOP CIR
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City | FRISCO
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State | TX
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Zip | 75035-4991
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Country | US
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Telephone | 972-713-0756
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Fax | 972-713-0756
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. ELLEN CECELIA HAMILTON
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Credential | LPC
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Telephone | 972-731-0756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13079
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License Number State | TX
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