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General NPI Number Information
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NPI Number | 1851029011
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Entity Type | Individual
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Provider Name | LEA HAMILL
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Gender | Female
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 9105A OWENS DR STE 102
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City | MANASSAS PARK
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State | VA
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Zip | 20111-4852
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Country | US
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Telephone | 571-445-0265
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Fax |
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Provider Business Mailing Address
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Address Line | 8243 LEES RIDGE RD
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City | WARRENTON
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State | VA
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Zip | 20186-8729
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0704017664
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License Number State | VA
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