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General NPI Number Information
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NPI Number | 1013640580
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Entity Type | Individual
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Provider Name | CAMILLE A O HAMILTON PHD MPH AGPCNP-BC RN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2022
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 400 N 17TH ST STE 300
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City | ALLENTOWN
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State | PA
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Zip | 18104-5052
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Country | US
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Telephone | 610-969-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 484-224-1892
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F310757-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP026189
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License Number State | PA
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