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General NPI Number Information
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NPI Number | 1043090962
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Entity Type | Organization
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Legal Business Name | DAVID V HAMILTON MD PLLC
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 1200 FIVE SPRINGS RD STE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-8756
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Country | US
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Telephone | 434-283-5980
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Fax | 434-284-5964
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Provider Business Mailing Address
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Address Line | 1200 FIVE SPRINGS RD STE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-8756
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Country | US
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Telephone | 434-283-5980
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Fax | 434-284-5964
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Authorized Official
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Title or Position | PRINCIPAL CLINICIAN
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Name | DR. DAVID VINCENT HAMILTON
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Credential | MD
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Telephone | 434-284-5980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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