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General NPI Number Information
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NPI Number | 1215110598
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Entity Type | Individual
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Provider Name | DANA L. HAMILTON LPN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 183 HIGHWAY 9 N
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City | PITTSBORO
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State | MS
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Zip | 38951-9759
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Country | US
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Telephone | 662-412-2285
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Fax | 662-412-2285
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Provider Business Mailing Address
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Address Line | 183 HIGHWAY 9 N
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City | PITTSBORO
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State | MS
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Zip | 38951-9759
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Country | US
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Telephone | 662-412-2285
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Fax | 662-412-2285
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | P291178
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License Number State | MS
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