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General NPI Number Information
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NPI Number | 1396345799
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Entity Type | Individual
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Provider Name | DANIELLE HAMPTON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | WALMART PHARMACY 2900 RENAISSANCE SQUARE
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City | FORT WORTH
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State | TX
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Zip | 76105
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Country | US
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Telephone | 817-900-1912
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Fax | 817-900-1913
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Provider Business Mailing Address
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Address Line | 5107 STAGECOACH WAY
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-2452
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Country | US
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Telephone | 469-585-2322
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 400406
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License Number State | TX
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