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General NPI Number Information
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NPI Number | 1972140762
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Entity Type | Individual
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Provider Name | LINDA HAMPTON SERVICE FACILITATOR
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Gender | Female
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Dates
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Enumeration Date | 11/29/2019
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Last Update Date | 11/29/2019
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Provider Practice Location Address
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Address Line | 600 MARTIN DR
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City | AXTON
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State | VA
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Zip | 24054-3662
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Country | US
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Telephone | 276-806-9624
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Fax | 434-685-1356
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | AXTON
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State | VA
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Zip | 24054-0099
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Country | US
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Telephone | 276-806-9624
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Fax | 434-685-1356
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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