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NPI Code Detail

MEDICARE: JACOB HAROLD HAMLIN

MEDICARE: JACOB HAROLD HAMLIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse11674544-3102UT

General Provider Information

NPI Number : 1548191026
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB HAROLD HAMLIN
Provider Business Mailing Address
First Line : 2505 S MEBANE ST STE A-B
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-6385
Country : US
Telephone Number : 336-223-0444
Fax Number :
Provider Business Practice Location Address
First Line : 2505 S MEBANE ST STE A-B
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-6385
Country : US
Telephone Number : 336-223-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ JACOB HAROLD HAMLIN ” Practice Location

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