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General NPI Number Information
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NPI Number | 1669027934
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Entity Type | Individual
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Provider Name | ELISHA HAMILTON LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 70 KEN HAYES DR
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City | BOURBONNAIS
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State | IL
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Zip | 60914-9379
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Country | US
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Telephone | 815-690-5587
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Fax |
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Provider Business Mailing Address
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Address Line | 4820 S STATE ROUTE 45 52
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City | KANKAKEE
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State | IL
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Zip | 60901-6047
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Country | US
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Telephone | 815-690-5587
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180008652
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License Number State | IL
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