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General NPI Number Information
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NPI Number | 1174336572
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Entity Type | Organization
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Legal Business Name | HAMILTON CENTER FOR CHILD ADVOCACY
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2713 S 74TH ST STE 203
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City | FORT SMITH
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State | AR
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Zip | 72903-5171
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Country | US
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Telephone | 479-783-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 2713 S 74TH ST STE 203
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City | FORT SMITH
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State | AR
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Zip | 72903-5171
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Country | US
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Telephone | 479-783-1002
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. LAURIE BURNETT
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Credential |
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Telephone | 479-459-6658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number |
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License Number State |
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