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General NPI Number Information
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NPI Number | 1174822001
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Entity Type | Organization
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Legal Business Name | HAMILTON HUGH HOLDINGS, PLLC
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 7146 SR 247
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City | POTTSVILLE
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State | AR
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Zip | 72858-8891
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Country | US
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Telephone | 479-858-7382
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Fax | 479-858-7323
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Provider Business Mailing Address
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Address Line | 7146 SR 247
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City | POTTSVILLE
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State | AR
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Zip | 72858-8891
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Country | US
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Telephone | 479-858-7382
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Fax | 479-858-7323
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Authorized Official
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Title or Position | OWNER
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Name | D. BLAINE LEEDS
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Credential | D.D.S.
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Telephone | 479-858-7382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | AR
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