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General NPI Number Information
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NPI Number | 1336521087
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Entity Type | Organization
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Legal Business Name | ALICIA TL HAMLTON D.C.
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 1710 ALLIED ST STE 20B
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-5341
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Country | US
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Telephone | 434-218-2466
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Fax | 434-288-0314
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Provider Business Mailing Address
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Address Line | 2921 BROOKMERE RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1110
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Country | US
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Telephone | 434-218-2466
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Fax | 434-288-0314
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | ALICIA THI LU HAMILTON
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Credential | D.C.
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Telephone | 330-671-9939
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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 | 0104557063
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License Number State | VA
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