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General NPI Number Information
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NPI Number | 1104168921
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Entity Type | Individual
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Provider Name | CARLY ELISE HAMPTON BSN,RN,MSN, CNM
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Gender | Female
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 139 CENTRE ST PH 120
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City | NEW YORK
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State | NY
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Zip | 10013-4559
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 139 CENTRE ST PH 120
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City | NEW YORK
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State | NY
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Zip | 10013-4559
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Country | US
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Telephone | 888-731-8994
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN575828
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 828877
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW010303
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421547
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License Number State | NY
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