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General NPI Number Information
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NPI Number | 1295065373
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Entity Type | Individual
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Provider Name | ANTHONY HAMILTON PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 2130 W CENTRAL AVENUE #101, #102, #103
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City | TOLEDO
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State | OH
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Zip | 43606
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Country | US
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Telephone | 419-291-3900
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Fax | 419-479-6055
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Provider Business Mailing Address
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Address Line | 2130 W CENTRAL AVE STE 101
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City | TOLEDO
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State | OH
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Zip | 43606-3819
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.003900RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5601005525
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License Number State | MI
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