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General NPI Number Information
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NPI Number | 1093021495
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Entity Type | Organization
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Legal Business Name | DOUGLAS G HAMILTON MEDICAL CORP
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 6325 TOPANGA CANYON BLVD STE 301
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2029
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Country | US
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Telephone | 818-884-7150
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Fax | 818-884-1254
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Provider Business Mailing Address
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Address Line | 12021 WILSHIRE BLVD # 309
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City | LOS ANGELES
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State | CA
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Zip | 90025-1206
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Country | US
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Telephone | 818-884-7150
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Fax | 818-884-1254
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS G HAMILTON
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Credential | MD
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Telephone | 818-884-7150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | G20987
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License Number State | CA
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