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General NPI Number Information
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NPI Number | 1003778820
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Entity Type | Individual
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Provider Name | MRS. AMY NICOLE HAMILTON
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 338 19TH ST N
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City | FARGO
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State | ND
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Zip | 58102-4132
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Country | US
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Telephone | 701-237-3372
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Fax | 701-237-3372
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Provider Business Mailing Address
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Address Line | 338 19TH ST N
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City | FARGO
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State | ND
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Zip | 58102-4132
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Country | US
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Telephone | 701-237-3372
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Fax | 701-237-3372
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | ND
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