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General NPI Number Information
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NPI Number | 1124230792
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Entity Type | Organization
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Legal Business Name | THOMAS A. HAMWAY, DDS, MS & TIMOTHY G. STROSTER, DDS, MS, PC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10192 GRAND RIVER RD STE 101
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City | BRIGHTON
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State | MI
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Zip | 48116-6516
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Country | US
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Telephone | 810-220-1700
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Fax | 810-220-1718
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Provider Business Mailing Address
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Address Line | 10192 GRAND RIVER RD STE 101
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City | BRIGHTON
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State | MI
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Zip | 48116-6516
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Country | US
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Telephone | 810-220-1700
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Fax | 810-220-1718
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. THOMAS A HAMWAY
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Credential | DDS, MS
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Telephone | 810-220-1700
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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 | 15851
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License Number State | MI
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