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General NPI Number Information
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NPI Number | 1669595047
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Entity Type | Individual
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Provider Name | AMY LYNN HAMPER RN
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3415 N 59TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85033-4623
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Country | US
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Telephone | 602-764-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 12559 W DESERT ROSE RD
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City | AVONDALE
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State | AZ
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Zip | 85323-7014
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Country | US
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Telephone | 602-764-2024
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN106324
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License Number State | AZ
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