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General NPI Number Information
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NPI Number | 1427946078
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Entity Type | Individual
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Provider Name | NICOLETTE CAMPOS HAMILTON OTD, OTR
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 94-1181 KA UKA BLVD STE C
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City | WAIPAHU
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State | HI
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Zip | 96797-4485
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Country | US
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Telephone | 808-260-9056
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Fax |
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Provider Business Mailing Address
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Address Line | 3438 TAYLOR ST
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City | HONOLULU
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State | HI
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Zip | 96818-3320
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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