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General NPI Number Information
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NPI Number | 1265506109
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Entity Type | Individual
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Provider Name | HAMPTON T GASKINS MD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1814 E ELMA CT
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City | ONTARIO
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State | CA
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Zip | 91764-4445
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Country | US
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Telephone | 909-937-2000
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Fax | 909-937-2009
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Provider Business Mailing Address
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Address Line | PO BOX 1368
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City | UPLAND
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State | CA
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Zip | 91785-1368
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Country | US
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Telephone | 909-937-2000
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Fax | 909-937-2009
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G36905
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License Number State | CA
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