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General NPI Number Information
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NPI Number | 1356488126
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Entity Type | Individual
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Provider Name | SANFORD TODD HAMILTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1175 E 50 S STE 211
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2845
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Country | US
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Telephone | 801-418-0870
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Fax | 801-418-0871
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Provider Business Mailing Address
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Address Line | 1055 N 500 W CREDENTIALING DEPARTMENT
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City | PROVO
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State | UT
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Zip | 84604-3305
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Country | US
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Telephone | 801-354-8225
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Fax | 801-418-0941
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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 | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | R0986
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 7310292-1205
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License Number State | UT
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