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General NPI Number Information
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NPI Number | 1255888533
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Entity Type | Individual
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Provider Name | JAMIE LEE HAMILTON OTR/L, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 09/05/2016
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 703 S MAIN ST
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City | AKRON
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State | OH
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Zip | 44311-1098
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Country | US
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Telephone | 234-334-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 4995 CLIFTON MILL DR
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-1276
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Country | US
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Telephone | 440-539-1971
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT005822
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT443796
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License Number State | OH
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