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NPI 1063589463

NPI 1063589463 : GERENE HAMILTON NORTON M.S. CCC SLP CCCA : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1063589463
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    Entity Type          |    Individual 
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    Provider Name        |    GERENE HAMILTON NORTON M.S. CCC SLP CCCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/29/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    12301 W EXPLORER DR SUITE 102
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83713-1571
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    Country              |    US
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    Telephone            |    208-373-1723
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8140 W SILKWOOD CT 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83704-0714
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    Country              |    US
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    Telephone            |    208-373-1723
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    AUD-1282
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SLP-1281
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    License Number State |    ID
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