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General NPI Number Information
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NPI Number | 1841948940
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Entity Type | Organization
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Legal Business Name | LYNN HAMLET LLC
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 2425 GEORGE MASON DR STE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-3400
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Country | US
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Telephone | 757-828-6028
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 CHARCA CT
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7151
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Country | US
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Telephone | 757-828-6028
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA LYNN HAMLET
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Credential | LPC
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Telephone | 757-828-6028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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