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General NPI Number Information
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NPI Number | 1619494630
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Entity Type | Individual
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Provider Name | KENDRA NICOLE HEMMINGER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 651 S LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1965
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Country | US
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Telephone | 937-324-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 612 OHIO AVE
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City | TROY
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State | OH
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Zip | 45373-2153
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Country | US
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Telephone | 937-474-3380
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.1700633
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License Number State | OH
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