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General NPI Number Information
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NPI Number | 1952965360
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Entity Type | Individual
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Provider Name | MICHELLE YODER HAMILTON PHD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 3500 REMSON CT
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-3508
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Country | US
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Telephone | 434-923-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 814 SAINT CLAIR AVE APT B
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4919
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Country | US
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Telephone | 301-221-7133
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810007478
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License Number State | VA
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