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General NPI Number Information
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NPI Number | 1497948277
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Entity Type | Individual
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Provider Name | BENJAMIN CRAIG HAMILTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 6105 MALONEYVILLE RD
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City | CORRYTON
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State | TN
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Zip | 37721-3721
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Country | US
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Telephone | 865-567-9449
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Fax |
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Provider Business Mailing Address
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Address Line | 6105 MALONEYVILLE RD
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City | CORRYTON
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State | TN
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Zip | 37721-3721
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Country | US
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Telephone | 865-567-9449
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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 | MD43636
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License Number State | TN
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