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General NPI Number Information
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NPI Number | 1205564960
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Entity Type | Individual
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Provider Name | MILES DANIEL HAMM PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1745 E HWY 50 STE B1
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City | CLERMONT
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State | FL
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Zip | 34711-5190
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Country | US
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Telephone | 407-226-3733
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Fax | 407-226-3734
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Provider Business Mailing Address
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Address Line | 1745 E HWY 50 STE B1
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City | CLERMONT
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State | FL
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Zip | 34711-5190
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Country | US
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Telephone | 352-404-8428
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Fax | 866-984-4064
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9116232
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License Number State | FL
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