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General NPI Number Information
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NPI Number | 1023335320
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Entity Type | Individual
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Provider Name | SEAN P HAMPTON D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 3229 PLEASANT VALLEY BLVD STE 1
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City | ALTOONA
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State | PA
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Zip | 16602-4435
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Country | US
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Telephone | 814-215-9494
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Fax | 814-281-3507
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Provider Business Mailing Address
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Address Line | 502 LOGAN BLVD
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City | ALTOONA
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State | PA
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Zip | 16602-4104
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Country | US
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Telephone | 814-215-9494
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Fax | 814-281-3507
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS-016045
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS016045
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License Number State | PA
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