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General NPI Number Information
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NPI Number | 1437729696
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Entity Type | Organization
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Legal Business Name | HAMILTON HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 201 W LIBERTY AVE STE 101
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City | COVINGTON
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State | TN
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Zip | 38019-2500
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Country | US
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Telephone | 901-245-9868
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Fax | 901-339-1282
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Provider Business Mailing Address
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Address Line | PO BOX 736
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City | COVINGTON
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State | TN
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Zip | 38019-0736
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Country | US
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Telephone | 901-245-9868
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Fax | 901-339-1282
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | MICHAEL W HAMILTON
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Credential | NP
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Telephone | 901-245-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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