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General NPI Number Information
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NPI Number | 1982000162
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Entity Type | Individual
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Provider Name | JULIE MALKOWSKI HAMAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1616 W MAIN ST STE 102
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City | LEBANON
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State | TN
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Zip | 37087-3191
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Country | US
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Telephone | 615-444-1180
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Fax | 615-449-0091
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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Country | US
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Telephone |
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Fax | 615-322-5048
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2663
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License Number State | TN
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