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General NPI Number Information
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NPI Number | 1093960262
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Entity Type | Organization
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Legal Business Name | HAMILTON THERAPEUTIC SERVICES, L.L.C
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 3501 FAYETTEVILLE RD
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City | LUMBERTON
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State | NC
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Zip | 28358-2709
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Country | US
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Telephone | 910-536-4741
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 448
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City | LUMBERTON
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State | NC
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Zip | 28359-0448
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Country | US
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Telephone | 910-536-4741
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MS. COURTNEY INEZ HAMILTON
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Credential | PT
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Telephone | 910-536-4741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2315
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License Number State | NC
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