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General NPI Number Information
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NPI Number | 1164967154
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Entity Type | Organization
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Legal Business Name | HAMILTON R FISH MD
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 32735 RADIO RD
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City | LEESBURG
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State | FL
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Zip | 34788-3900
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Country | US
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Telephone | 352-728-3111
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Fax | 352-728-3201
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Provider Business Mailing Address
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Address Line | 32735 RADIO RD
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City | LEESBURG
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State | FL
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Zip | 34788-3900
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Country | US
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Telephone | 352-728-3111
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Fax | 352-728-3201
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Authorized Official
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Title or Position | INDIVIDUAL
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Name | DR. HAMILTON R FISH
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Credential | M.D.
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Telephone | 352-728-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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