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General NPI Number Information
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NPI Number | 1336350875
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Entity Type | Individual
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Provider Name | JUDITH L. HAMILTON MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 344 A ST SPRINGFIELD MUNICIPAL JAIL
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4536
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Country | US
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Telephone | 541-744-4166
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Fax | 541-744-4188
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Provider Business Mailing Address
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Address Line | 26056 CATON LN
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City | MONROE
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State | OR
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Zip | 97456-9452
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Country | US
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Telephone | 541-847-1149
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Fax | 541-847-1149
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200350125 FNP-PP
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License Number State | OR
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