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General NPI Number Information
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NPI Number | 1871846170
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Entity Type | Individual
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Provider Name | THERESA HAMRICK CPNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 958 JOE FRANK HARRIS PKWY SE SUITE 101
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City | CARTERSVILLE
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State | GA
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Zip | 30120-2158
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Country | US
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Telephone | 770-386-3011
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Fax | 770-386-4966
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Provider Business Mailing Address
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Address Line | PO BOX 200429
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City | CARTERSVILLE
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State | GA
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Zip | 30120-9008
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Country | US
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Telephone | 770-386-3011
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Fax | 770-386-4966
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN195922
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License Number State | GA
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