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General NPI Number Information
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NPI Number | 1639563489
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Entity Type | Individual
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Provider Name | AMBER HAMPTON
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Gender | Female
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-367-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 NORTHSIDE FORSYTH DR
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City | CUMMING
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State | GA
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Zip | 30041-7659
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Country | US
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Telephone | 770-844-3200
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Fax | 404-851-6325
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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 | RN229929
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License Number State | GA
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