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General NPI Number Information
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NPI Number | 1770613200
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Entity Type | Individual
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Provider Name | HAMPTON ROBERT SUE O.D
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2700 N SALISBURY BLVD
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City | SALISBURY
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State | MD
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Zip | 21801-2143
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Country | US
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Telephone | 410-546-1031
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Fax | 410-546-1418
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Provider Business Mailing Address
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Address Line | 318 MILL POND LN APT 701
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City | SALISBURY
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State | MD
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Zip | 21804-9018
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Country | US
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Telephone | 443-235-5777
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Fax | 410-546-1418
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TAO772
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License Number State | MD
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