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General NPI Number Information
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NPI Number | 1558687186
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Entity Type | Individual
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Provider Name | BRANDY GLASS HAMMILL MS
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 16607 BLANCO RD STE 502
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1910
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Country | US
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Telephone | 210-416-1621
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Fax |
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Provider Business Mailing Address
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Address Line | 16607 BLANCO RD STE 502
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1910
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Country | US
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Telephone | 210-416-1621
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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 | 201299
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64781
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License Number State | TX
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