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General NPI Number Information
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NPI Number | 1164372058
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Entity Type | Individual
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Provider Name | HAMISH ALEXANDER LEE AMBUT RN
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Gender | Male
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 19800 BELMONT CHASE DR STE 110
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City | ASHBURN
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State | VA
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Zip | 20147-3416
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Country | US
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Telephone | 703-723-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 19800 BELMONT CHASE DR STE 110
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City | ASHBURN
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State | VA
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Zip | 20147-3416
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Country | US
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Telephone | 703-723-6767
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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 | 751883
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 0001309180
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 95262706
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License Number State | CA
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