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General NPI Number Information
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NPI Number | 1457799223
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Entity Type | Organization
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Legal Business Name | TODD L HAMILTON DDS PA
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 7482 WATERSIDE CROSSING BLVD SUITE 201
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City | DENVER
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State | NC
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Zip | 28037-3005
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Country | US
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Telephone | 704-822-0320
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Fax | 704-822-8097
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Provider Business Mailing Address
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Address Line | 7482 WATERSIDE CROSSING BLVD SUITE 201
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City | DENVER
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State | NC
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Zip | 28037-3005
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Country | US
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Telephone | 704-822-0320
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Fax | 704-822-8097
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD LELAND HAMILTON
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Credential | DDS
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Telephone | 704-779-9793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5217
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License Number State | NC
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