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General NPI Number Information
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NPI Number | 1215360607
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Entity Type | Organization
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Legal Business Name | PATRICK E HAMILTON MD INC
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 24 N CHURCH ST STE 308
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City | WAILUKU
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State | HI
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Zip | 96793-1608
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Country | US
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Telephone | 808-872-9595
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Fax | 808-575-5224
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Provider Business Mailing Address
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Address Line | PO BOX 1879
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City | WAILUKU
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State | HI
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Zip | 96793-6879
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Country | US
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Telephone | 808-872-9595
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Fax | 808-575-5224
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK E HAMILTON
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Credential | M.D.
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Telephone | 808-872-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MD-5612
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License Number State | HI
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