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General NPI Number Information
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NPI Number | 1962626762
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Entity Type | Individual
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Provider Name | PAUL ANDREW HAMPTON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2121 NORTH AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-6428
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Country | US
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Telephone | 970-433-8248
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Fax |
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Provider Business Mailing Address
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Address Line | 9600 HIGHWAY 141
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City | WHITEWATER
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State | CO
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Zip | 81527-9713
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Country | US
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Telephone | 970-242-8229
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17472
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License Number State | CO
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