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General NPI Number Information
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NPI Number | 1710638689
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Entity Type | Individual
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Provider Name | DUSTIN HEATH HAMILTON APRN
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Gender | Male
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 1000 S LIMESTONE
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-323-9057
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Fax | 859-323-9502
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Provider Business Mailing Address
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Address Line | 111 CLARK BR
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City | HAROLD
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State | KY
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Zip | 41635-6348
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Country | US
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Telephone | 606-422-2490
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1136286
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 087388-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4035870
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License Number State | KY
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