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General NPI Number Information
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NPI Number | 1356504559
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Entity Type | Organization
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Legal Business Name | JAMES HAMILTON O.D.
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 3016 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79413-4102
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Country | US
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Telephone | 806-797-4216
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79413-4102
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Country | US
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Telephone | 806-797-4216
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | MICHELLE POPE
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Credential |
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Telephone | 806-797-4216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 04809TG
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License Number State | TX
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