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General NPI Number Information
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NPI Number | 1225033194
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Entity Type | Individual
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Provider Name | GREGORY ALAN HAMON MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 19016 STONE OAK PKWY STE 220
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3281
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Country | US
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Telephone | 210-627-1904
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Fax | 210-610-0211
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Provider Business Mailing Address
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Address Line | 24723 CLEARWATER RUN
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City | SAN ANTONIO
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State | TX
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Zip | 78255-3479
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Country | US
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Telephone | 210-787-9048
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Fax | 210-610-0211
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | H8107
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A049434
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A049434
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | H8107
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H8107
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License Number State | TX
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