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General NPI Number Information
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NPI Number | 1811064322
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Entity Type | Individual
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Provider Name | VANESSA LINNETTE HAMLETT M.A.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8217 CEDARCREST LN
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City | FORT WORTH
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State | TX
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Zip | 76123-4631
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Country | US
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Telephone | 817-370-1223
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Fax | 206-339-4554
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Provider Business Mailing Address
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Address Line | 8217 CEDARCREST LN
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City | FORT WORTH
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State | TX
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Zip | 76123-4631
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Country | US
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Telephone | 817-370-9970
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Fax | 206-339-4554
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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 | 18745
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License Number State | TX
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