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General NPI Number Information
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NPI Number | 1194017343
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Entity Type | Individual
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Provider Name | ELIZABETH HAMAKER PT
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Gender | Female
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 507 N HIGHWAY 77
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1885
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Country | US
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Telephone | 972-938-3311
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Fax | 972-351-9598
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Provider Business Mailing Address
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Address Line | 2810 COLDWATER CT
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-6607
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Country | US
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Telephone | 469-323-3855
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1040137
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License Number State | TX
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