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General NPI Number Information
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NPI Number | 1750367488
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Entity Type | Individual
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Provider Name | JILL HAMBURG P.A.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4745 OGLETOWN STANTON RD STE 134
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City | NEWARK
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State | DE
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Zip | 19713-2074
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Country | US
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Telephone | 302-738-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 WINGED ELM DR
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City | CEDAR PARK
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State | TX
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Zip | 78613-4384
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Country | US
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Telephone | 512-923-5179
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C11-0000001
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA063269
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 59981
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 085008335
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA02777
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License Number State | TX
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