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General NPI Number Information
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NPI Number | 1104111947
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Entity Type | Individual
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Provider Name | VIVIAN HAMILTON NP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 435 S 4TH AVE
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City | BRIGHTON
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State | CO
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Zip | 80601-3152
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Country | US
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Telephone | 720-823-0123
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Fax | 303-630-3953
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Provider Business Mailing Address
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Address Line | 435 S 4TH AVE
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City | BRIGHTON
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State | CO
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Zip | 80601-3152
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Country | US
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Telephone | 720-823-0123
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Fax | 303-953-2312
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007198
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0996798-NP
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License Number State | CO
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