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General NPI Number Information
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NPI Number | 1730364837
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Entity Type | Organization
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Legal Business Name | NORTH HAMPTON FAMILY CARE INC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 275 W CLARK ST
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City | NORTH HAMPTON
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State | OH
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Zip | 45349
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Country | US
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Telephone | 937-964-8669
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Fax | 937-964-8665
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | NORTH HAMPTON
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State | OH
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Zip | 45349-0459
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Country | US
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Telephone | 937-964-8669
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Fax | 937-964-8665
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Authorized Official
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Title or Position | OWNER
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Name | DR. ESTELLA M GALLARDO
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Credential | M D
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Telephone | 937-964-8669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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