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General NPI Number Information
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NPI Number | 1518176494
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Entity Type | Organization
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Legal Business Name | PEGGY HAMILTON
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 37 BARONE AVE
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City | MOUNT MORRIS
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State | NY
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Zip | 14510-1401
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Country | US
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Telephone | 158-551-9115
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Fax |
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Provider Business Mailing Address
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Address Line | 37 BARONE AVE
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City | MOUNT MORRIS
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State | NY
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Zip | 14510-1401
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Country | US
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Telephone | 158-551-9115
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | MS. PEGGY DARLENE HAMILTON
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Credential | R.N.
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Telephone | 15855191159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 465762-1
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License Number State | NY
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