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General NPI Number Information
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NPI Number | 1417424318
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Entity Type | Individual
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Provider Name | SHAMANTA HAMILTON NP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 214 W COLORADO BLVD
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City | DALLAS
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State | TX
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Zip | 75208-2326
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Country | US
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Telephone | 214-984-5616
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Fax |
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Provider Business Mailing Address
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Address Line | 900 LAKE CAROLYN PKWY APT 240
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City | IRVING
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State | TX
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Zip | 75039-4640
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Country | US
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Telephone | 601-761-0702
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | HAMI-MSKCMU
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1020642
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1020642
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License Number State | TX
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