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General NPI Number Information
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NPI Number | 1508548702
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Entity Type | Individual
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Provider Name | TYLER A HAMILTON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 10621 STATE HWY 11
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City | TRENTON
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State | GA
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Zip | 30752
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Country | US
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Telephone | 706-657-7561
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Fax | 877-840-2558
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Provider Business Mailing Address
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Address Line | 7344 MCCUTCHEON RD.
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City | CHATTANOOGA
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State | TN
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Zip | 37421
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Country | US
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Telephone | 423-899-9755
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Fax | 877-840-2558
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 109079
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12592
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN123615
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License Number State | GA
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