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General NPI Number Information
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NPI Number | 1689337693
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Entity Type | Individual
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Provider Name | VALARIA C HAMILTON RN, BSN, CCM, DOULA
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Gender | Female
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Dates
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Enumeration Date | 10/17/2021
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Last Update Date | 10/17/2021
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Provider Practice Location Address
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Address Line | 25101 SW 9TH LN
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City | NEWBERRY
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State | FL
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Zip | 32669-0049
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Country | US
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Telephone | 352-660-9714
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Fax |
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Provider Business Mailing Address
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Address Line | 252 N MAIN ST UNIT 792
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City | NEWBERRY
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State | FL
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Zip | 32669-7733
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Country | US
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Telephone | 352-660-9714
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 9439288
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 9439288
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License Number State | FL
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