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General NPI Number Information
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NPI Number | 1003998469
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Entity Type | Organization
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Legal Business Name | HAMBY ORTHODONTICS
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 870 CLEVELAND ST SUITE 1B
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City | GREENVILLE
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State | SC
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Zip | 29601-4427
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Country | US
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Telephone | 864-235-4840
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Fax | 864-752-0982
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Provider Business Mailing Address
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Address Line | 870 CLEVELAND ST SUITE 1B
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City | GREENVILLE
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State | SC
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Zip | 29601-4427
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Country | US
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Telephone | 864-235-4840
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Fax | 864-752-0982
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. J. BRIAN HAMBY
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Credential | DMD
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Telephone | 864-235-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3798
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License Number State | SC
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