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General NPI Number Information
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NPI Number | 1679796437
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Entity Type | Individual
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Provider Name | FLORA TERRELL HAMILTON DSW, MSW
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2041 MARTIN LUTHER KING JR AVE SE SUITE M-2
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City | WASHINGTON
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State | DC
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Zip | 20020-7024
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Country | US
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Telephone | 202-889-7900
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Fax | 202-610-3095
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Provider Business Mailing Address
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Address Line | 14 HILLTOP RD
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City | SILVER SPRING
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State | MD
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Zip | 20910-5446
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Country | US
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Telephone | 301-565-0432
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC300037
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 02263
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License Number State | MD
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