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General NPI Number Information
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NPI Number | 1043673353
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Entity Type | Organization
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Legal Business Name | HAMILTON, CLARK, OTERO AND ASSOCIATES
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 2660 NC HIGHWAY 210 E STE 103
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8110
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Country | US
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Telephone | 910-541-2155
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 NC HIGHWAY 210 E STE 103
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8110
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Country | US
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Telephone | 910-541-2155
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. HELLON USSERY
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Credential |
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Telephone | 910-541-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8843
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License Number State | NC
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