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General NPI Number Information
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NPI Number | 1285940593
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Entity Type | Organization
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Legal Business Name | HAMILTON CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 7180 DIXIE HWY
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City | CLARKSTON
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State | MI
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Zip | 48346-5109
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Country | US
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Telephone | 248-625-7690
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Fax | 248-625-7140
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Provider Business Mailing Address
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Address Line | 7180 DIXIE HWY
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City | CLARKSTON
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State | MI
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Zip | 48346-5109
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Country | US
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Telephone | 248-625-7690
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Fax | 248-625-7140
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY BRETT HAMILTON
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Credential | D.C.
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Telephone | 248-625-7690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301004964
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License Number State | MI
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