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General NPI Number Information
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NPI Number | 1235513037
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Entity Type | Individual
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Provider Name | HAMPTON FORD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 508 FULTON ST
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City | DURHAM
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State | NC
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Zip | 27705-3875
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Country | US
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Telephone | 804-585-7605
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Fax |
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Provider Business Mailing Address
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Address Line | 312 ST DAVIDS LN
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City | RICHMOND
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State | VA
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Zip | 23221-3708
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Country | US
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Telephone | 804-585-7605
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024172697
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License Number State | VA
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