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General NPI Number Information
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NPI Number | 1669230892
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Entity Type | Individual
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Provider Name | ANDREA HAMPTON LVN
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 8898 CLAIREMONT MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1147
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Country | US
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Telephone | 858-352-7931
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 858-352-7931
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 256487
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License Number State | CA
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