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General NPI Number Information
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NPI Number | 1265814347
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Entity Type | Individual
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Provider Name | ANDREA MARIA HAMPTON RN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 10345 SW MCDONALD ST
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City | TIGARD
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State | OR
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Zip | 97224-4854
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Country | US
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Telephone | 503-620-2960
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Fax |
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Provider Business Mailing Address
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Address Line | 9080 SW PINEBROOK ST
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City | TIGARD
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State | OR
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Zip | 97224-5838
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Country | US
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Telephone | 503-929-6781
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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 | 201600969RN
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License Number State | OR
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