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General NPI Number Information
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NPI Number | 1578633921
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Entity Type | Individual
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Provider Name | CARLOTTA HAMPLE MD
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 3 COOPER PLZ RM 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-342-2001
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Fax |
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Provider Business Mailing Address
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Address Line | LIJMC - PEDIATRIC GASTROENTEROLOGY 269-01 76TH AVENUE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 718-470-3430
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 207819
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 25MA09782200
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License Number State | NJ
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