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General NPI Number Information
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NPI Number | 1861339962
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Entity Type | Organization
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Legal Business Name | DEFI TRAUMA THERAPY PLLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 4005 LADYS SECRET DR
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5716
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Country | US
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Telephone | 704-273-9166
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Fax |
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Provider Business Mailing Address
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Address Line | 6720 OLD MONROE RD STE B
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5353
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Country | US
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Telephone | 704-273-9166
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDINE ALICIA HAMILTON
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Credential | LCMHC
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Telephone | 980-347-8488
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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 |
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License Number State |
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