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General NPI Number Information
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NPI Number | 1831382035
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Entity Type | Individual
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Provider Name | TINA M HAMM NCC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 201 E MOUNT VERNON ST
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City | SOMERSET
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State | KY
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Zip | 42501-1412
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Country | US
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Telephone | 606-451-9379
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Fax | 606-451-8149
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | SOMERSET
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State | KY
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Zip | 42502-0002
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Country | US
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Telephone | 606-451-9379
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Fax | 606-451-8149
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0915
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License Number State | KY
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