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General NPI Number Information
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NPI Number | 1962651091
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Entity Type | Organization
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Legal Business Name | HAMBRIGHT AND ASSOCIATES INC
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 01/01/2009
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Provider Practice Location Address
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Address Line | 503 E FORT WAYNE ST
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City | WARSAW
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State | IN
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Zip | 46580-3338
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Country | US
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Telephone | 574-267-2096
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Fax | 574-269-4646
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Provider Business Mailing Address
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Address Line | PO BOX 1323
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City | WARSAW
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State | IN
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Zip | 46581-1323
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Country | US
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Telephone | 574-267-2906
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Fax | 574-269-4646
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. WILLIAM SHIRK HAMBRIGHT
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Credential | LCSW, LMFT
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Telephone | 574-267-2906
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35000757A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34003096A
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License Number State | IN
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