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General NPI Number Information
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NPI Number | 1003955626
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Entity Type | Individual
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Provider Name | SCOTT L. HAMBLETON M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 7048 OLD CANTON ROAD SUITE 2001
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City | RIDGELAND
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State | MS
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Zip | 39157
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Country | US
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Telephone | 601-850-9220
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Fax | 601-255-2606
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Provider Business Mailing Address
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Address Line | 7048 OLD CANTON RD STE 2001
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City | RIDGELAND
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State | MS
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Zip | 39157-1021
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Country | US
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Telephone | 601-850-9220
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Fax | 866-629-9591
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 20010
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License Number State | MS
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