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General NPI Number Information
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NPI Number | 1912324609
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Entity Type | Individual
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Provider Name | DUSTIN HAMLIN APRN
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Gender | Male
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 04/11/2014
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Provider Practice Location Address
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Address Line | 1570 N. US 27
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City | WHITLEY CITY
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State | KY
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Zip | 42653
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Country | US
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Telephone | 606-376-9355
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Fax | 606-376-9356
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Provider Business Mailing Address
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Address Line | PO BOX 41
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City | WHITLEY CITY
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State | KY
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Zip | 42653-0041
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Country | US
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Telephone | 606-376-9355
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Fax | 606-376-9356
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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 | 3008593
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License Number State | KY
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