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General NPI Number Information
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NPI Number | 1740204734
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Entity Type | Individual
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Provider Name | KRISTIN CARNEY HAMPERS PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 252 MECHANIC ST.
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City | LEBANON
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State | NH
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Zip | 03766
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Country | US
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Telephone | 603-448-1941
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5530
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City | HANOVER
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State | NH
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Zip | 03755-5530
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0252
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License Number State | NH
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