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General NPI Number Information
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NPI Number | 1750849485
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Entity Type | Individual
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Provider Name | DEE LAURA HAMBURG NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 35511 COUNTY ROAD 134
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City | FAIRVIEW
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State | MT
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Zip | 59221-9465
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Country | US
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Telephone | 406-742-5201
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Fax | 406-742-3523
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Provider Business Mailing Address
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Address Line | 3318 3RD AVE N STE 200
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City | BILLINGS
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State | MT
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Zip | 59101-1900
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Country | US
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Telephone | 406-248-3149
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Fax | 406-245-6636
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-144051
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License Number State | MT
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