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General NPI Number Information
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NPI Number | 1982146965
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Entity Type | Individual
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Provider Name | AMANDA HAMMOND
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | NAVAL HOSPITAL OKINAWA
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City | FPO
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State | AP
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Zip | 96362
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Country | US
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Telephone | 98-971-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 34101 FARENHOLT AVE BLDG 14
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City | SAN DIEGO
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State | CA
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Zip | 92134-7000
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Country | US
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Telephone | 619-532-7968
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 142431148-1206
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License Number State | UT
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