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General NPI Number Information
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NPI Number | 1831032580
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Entity Type | Individual
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Provider Name | JAMES RIDGE HAMBERLIN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 200 SPRINGTOWN WAY STE 108
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City | SAN MARCOS
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State | TX
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Zip | 78666-3856
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Country | US
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Telephone | 512-717-6053
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Fax |
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Provider Business Mailing Address
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Address Line | 5455 E GARNET AVE
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City | MESA
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State | AZ
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Zip | 85206-6704
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Country | US
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Telephone | 480-428-9935
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D012727
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License Number State | AZ
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