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General NPI Number Information
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NPI Number | 1194007385
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Entity Type | Organization
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Legal Business Name | HAMILTON MEDICALLY ASSISTED TREATMENT ASSOCIATES
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 1799 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08619-2760
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Country | US
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Telephone | 609-207-7133
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08619-2760
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Country | US
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Telephone | 609-207-7133
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES BEVELL JR.
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Credential |
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Telephone | 561-577-3174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1111
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License Number State | NJ
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