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General NPI Number Information
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NPI Number | 1891174033
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Entity Type | Individual
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Provider Name | BRANDY MICHELLE HANCOCK L.P.C.C.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 584 SKINHOUSE BRANCH RD
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City | GREENSBURG
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State | KY
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Zip | 42743-8750
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Country | US
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Telephone | 270-932-3301
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Fax | 270-299-2331
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Provider Business Mailing Address
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Address Line | 584 SKINHOUSE BRANCH RD
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City | GREENSBURG
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State | KY
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Zip | 42743-8750
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Country | US
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Telephone | 270-932-3301
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Fax | 270-299-2331
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | KY-0775
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | KY-0775
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | KY-0775
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License Number State | KY
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