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NPI 1487609731

NPI 1487609731 : STEVEN SHUMWAY HAMBLIN PT : SPRINGERVILLE, AZ

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General NPI Number Information
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    NPI Number           |    1487609731
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN SHUMWAY HAMBLIN PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    08/08/2025
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Provider Practice Location Address
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    Address Line         |    118 SOUTH MOUNTAIN AVE 
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    City                 |    SPRINGERVILLE
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    State                |    AZ
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    Zip                  |    85938
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    Country              |    US
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    Telephone            |    928-333-4368
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    Fax                  |    928-333-7124
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Provider Business Mailing Address
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    Address Line         |    118 SOUTH MOUNTAIN AVE 
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    City                 |    SPRINGERVILLE
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    State                |    AZ
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    Zip                  |    85938
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    Country              |    US
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    Telephone            |    928-333-4368
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    Fax                  |    928-333-7124
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    2575
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    License Number State |    AZ
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