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NPI 1669122446

NPI 1669122446 : AUSTIN JOHN HAMPTON PA-C : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1669122446
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    Entity Type          |    Individual 
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    Provider Name        |    AUSTIN JOHN HAMPTON PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/25/2022
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    36 EAST 57TH STREET 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022
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    Country              |    US
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    Telephone            |    917-202-1531
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    222 E 31ST ST APT 1R 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-6333
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    Country              |    US
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    Telephone            |    315-201-0621
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    028197
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    License Number State |    NY
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