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General NPI Number Information
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NPI Number | 1730987959
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Entity Type | Individual
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Provider Name | KARLIE LYNN HAMILTON MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1 HAIRPIN DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62026-0001
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Country | US
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Telephone | 618-650-3705
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Fax |
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Provider Business Mailing Address
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Address Line | 322 FAIRWOOD HILLS RD
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City | O FALLON
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State | IL
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Zip | 62269-3560
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Country | US
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Telephone | 217-259-4000
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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 | 2019022630
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041525335
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License Number State | IL
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