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General NPI Number Information
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NPI Number | 1609230572
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Entity Type | Individual
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Provider Name | VALERIE HAMMOND M.A.C.P, CRADC
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Gender | Female
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 1909 CHEKER SQ
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City | EAST HAZEL CREST
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State | IL
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Zip | 60429-1442
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Country | US
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Telephone | 708-305-5904
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Fax |
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Provider Business Mailing Address
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Address Line | 9119 LUNAR AVE APT 204
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City | ORLAND PARK
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State | IL
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Zip | 60462-3502
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Country | US
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Telephone | 779-227-9707
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 33122
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License Number State | IL
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