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General NPI Number Information
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NPI Number | 1568327344
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Entity Type | Individual
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Provider Name | AMANDA ELLEN HAMPTON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1250 E COMMERCE ST
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City | HERNANDO
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State | MS
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Zip | 38632-2456
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Country | US
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Telephone | 662-298-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 120 OAK MANOR DR
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City | COLDWATER
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State | MS
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Zip | 38618-6488
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Country | US
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Telephone | 907-441-9268
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Fax | 888-876-4479
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 908037
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License Number State | MS
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