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General NPI Number Information
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NPI Number | 1588007272
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Entity Type | Organization
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Legal Business Name | ROBERTA HAMMOND AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 1344 WOODMAN DR
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City | DAYTON
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State | OH
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Zip | 45432-3475
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Country | US
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Telephone | 937-294-3794
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Fax | 937-331-5438
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Provider Business Mailing Address
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Address Line | 1344 WOODMAN DR
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City | DAYTON
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State | OH
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Zip | 45432-3475
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Country | US
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Telephone | 937-294-3794
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Fax | 937-331-5438
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | GLENNA DARNELL-BAUGHMAN
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Credential | MS, PCC
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Telephone | 937-294-3794
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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 | E0005416
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License Number State | OH
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