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General NPI Number Information
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NPI Number | 1194512962
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Entity Type | Individual
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Provider Name | JOSHUA HAMILTON RN
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Gender | Male
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 250 BRAY ST
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City | ATHENS
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State | GA
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Zip | 30601-2203
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Country | US
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Telephone | 706-389-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 3358 COUNTRY LN
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City | GAINESVILLE
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State | GA
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Zip | 30506-3701
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Country | US
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Telephone | 678-381-4820
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN305981
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License Number State | GA
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