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General NPI Number Information
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NPI Number | 1992467625
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Entity Type | Individual
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Provider Name | JAIME RENEE HAMILTON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 04/02/2022
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Provider Practice Location Address
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Address Line | 1001 LYNCH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63118-1818
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Country | US
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Telephone | 636-535-5600
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Fax | 314-615-2141
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Provider Business Mailing Address
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Address Line | 1001 LYNCH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63118-1818
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Country | US
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Telephone | 314-535-5600
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Fax | 314-615-2141
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2021105703
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2021042604
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License Number State | MO
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