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General NPI Number Information
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NPI Number | 1700815545
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Entity Type | Organization
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Legal Business Name | DARYL K. HAMBLIN, PH.D., PC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1040 LONGFIELD CT
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City | MONTGOMERY
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State | AL
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Zip | 36117-8055
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Country | US
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Telephone | 334-288-9009
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Fax | 334-288-9497
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Provider Business Mailing Address
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Address Line | 1040 LONGFIELD CT
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City | MONTGOMERY
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State | AL
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Zip | 36117-8055
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Country | US
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Telephone | 334-288-9009
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Fax | 334-288-9497
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Authorized Official
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Title or Position | OWNER
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Name | DARYL K HAMBLIN
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Credential | PH.D.
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Telephone | 334-288-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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