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General NPI Number Information
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NPI Number | 1760015366
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Entity Type | Individual
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Provider Name | SETH HAMPTON DPT
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Gender | Male
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 4424 E FLAMINGO AVE STE 120
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City | NAMPA
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State | ID
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Zip | 83687-9291
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Country | US
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Telephone | 208-205-0450
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Fax |
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Provider Business Mailing Address
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Address Line | 1336 N PENN STATION LN APT 202
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City | MERIDIAN
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State | ID
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Zip | 83642-9426
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Country | US
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Telephone | 252-722-4758
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-6571
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License Number State | ID
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