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General NPI Number Information
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NPI Number | 1386920734
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Entity Type | Individual
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Provider Name | MICHAEL DWAYNE HAMILTON DPH, RPH
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Gender | Male
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 10021 SOUTH MAIN ST STE B-2A
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City | HOUSTON
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State | TX
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Zip | 77025-5224
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Country | US
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Telephone | 713-492-2088
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Fax | 713-554-0425
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Provider Business Mailing Address
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Address Line | PO BOX 90635
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City | HOUSTON
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State | TX
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Zip | 77290-0635
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Country | US
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Telephone | 936-203-8499
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03127352-1
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10459
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11056
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 36578
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License Number State | TX
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