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General NPI Number Information
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NPI Number | 1245411446
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Entity Type | Individual
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Provider Name | TIMOTHY C. HAMAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 09/17/2016
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Provider Practice Location Address
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Address Line | 217 SAM HOUSTON JONES PKWY SUITE 102
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City | LAKE CHARLES
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State | LA
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Zip | 70611-5644
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Country | US
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Telephone | 337-430-4262
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Fax | 337-430-4263
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Provider Business Mailing Address
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Address Line | 919 HIDDEN RDG 6TH FLOOR
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City | IRVING
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State | TX
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Zip | 75038-3813
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Country | US
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Telephone | 469-282-2711
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Fax | 469-282-2609
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.203766
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD.203766
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License Number State | LA
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