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General NPI Number Information
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NPI Number | 1417938408
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Entity Type | Individual
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Provider Name | NEIL HAMILTON PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1638 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3424
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Country | US
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Telephone | 910-615-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MOCCASIN CT
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2354
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Country | US
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Telephone | 423-300-7085
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0000053672
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD53672
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0000053672
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-15343
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License Number State | NC
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